The volume goes. The skin envelope stays. And there is a line somewhere between what a good skincare routine can do and what only an operating theatre can do, a line almost nobody in the beauty industry has any commercial interest in drawing clearly for you.

Here's something that might surprise you. Everyone assumes the weight-loss injections have triggered a tummy-tuck boom. But BAAPS's own audit shows UK cosmetic surgery actually fell two per cent in 2025, with abdominoplasty down four per cent. Meanwhile in the United States, more than 800,000 aesthetic patients were using a prescription weight-loss medication in 2024, and one in five of them had already had surgery.

In this episode I'm joined by Dr Frank Agullo, a double board-certified plastic surgeon based in El Paso, Texas, known to three and a half million people online as Dr WorldWide. He trained at the Mayo Clinic, holds certification from both the American Board of Plastic Surgery and the American Board of Surgery, and is a Clinical Associate Professor at Texas Tech's Paul L. Foster School of Medicine. He's the founder of Southwest Plastic Surgery, where patients fly in from as far as Canada and South America.

We talk about why the skin doesn't know you lost the weight the healthy way, what actually happens to the face, breasts and midsection and why they behave so differently, what "Ozempic face" really is underneath, what a topical can genuinely do and where it stops, how stable your weight needs to be before surgery is sensible, whether loose skin really retracts if you wait, and what before-and-after culture online completely hides.

🎙 Hosted by: Marc McKee
📍 Featuring: Dr Frank Agullo, MD, FACS

🔗 Connect with Dr Agullo
📸 Instagram: @realdrworldwide
📲 TikTok: @realdrworldwide
🔗 Website: www.agulloplasticsurgery.com

🔗 Connect with Marc
📲 TikTok: @my.journey.with.marc
📸 Instagram: @my.journey.with.marc
📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast
🎧 Podcast: www.myjourneywithmarc.com/podcast

🎧 New episodes every Tuesday at 6am.

Sources referenced in this episode:

• BAAPS Annual Audit, procedures performed in 2025, published 2026
• American Society of Plastic Surgeons, 2024 Procedural Statistics Report, released 25 June 2025 (GLP-1 figures from the survey component, US only)

Coronary heart disease kills more than twice as many women in the UK as breast cancer. More than 800,000 UK women are living with it right now. And if you asked most women in midlife what they should be most worried about, I don't think heart disease is the answer you'd get.

Menopause changes where a woman stores fat, how she processes sugar, what her cholesterol does and what her blood pressure does. Weight, hormones and cardiovascular risk are all one system. But they get treated by three different people in three different appointments, if you can get the appointments at all.

In this episode I'm joined by Dr Komal Patil-Sisodia, who is triple board-certified in Internal Medicine, Endocrinology and Obesity Medicine, and is also a Menopause Society Certified Practitioner. She has practised for over seventeen years and is the founder of Eastside Menopause and Metabolism in Redmond, Washington. She's Executive Medical Director of Medical Specialties at a local hospital system, hosts the Clearly Hormonal podcast, and has been named a Top Doctor by both Seattle Met and Seattle Magazine.

We talk about what actually changes in a woman's metabolism through the menopause transition, why heart disease is so badly under-appreciated in midlife, where GLP-1 medications fit for a woman in her forties and fifties, what the evidence says about HRT and GLP-1s together, what tests women should be asking for and aren't, and where to start if you've been told more than once that it's just your age.

🎙 Hosted by: Marc McKee
📍 Featuring: Dr Komal Patil-Sisodia, MD

🔗 Connect with Dr Patil-Sisodia
📸 Instagram: @drpatilsisodia
📲 TikTok: @drpatilsisodia
🔗 Website: www.eastsidemm.com
🎧 Podcast: Clearly Hormonal — www.eastsidemm.com/podcast

🔗 Connect with Marc
📲 TikTok: @my.journey.with.marc
📸 Instagram: @my.journey.with.marc
📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast
🎧 Podcast: www.myjourneywithmarc.com/podcast

🎧 New episodes every Tuesday at 6am.

Sources referenced in this episode:

• British Heart Foundation, UK Cardiovascular Disease Factsheet, January 2026 (2024 mortality data, ONS)

It's not the nausea people find hardest. It's the hair.

A systematic review published in April 2026 pulled together twenty-four studies and found hair loss occurred at six cases per thousand patient-years on GLP-1 medication, against zero point eight on placebo. More than a three-fold increase. And when you're eating a fraction of what you used to, the nutrients have to come from somewhere: one study last year found 98.6% of people on these medications were below the recommended intake of vitamin D alone.

In this episode I'm joined by Nyrah Saleem, a clinical pharmacist and independent prescriber, and an award-winning health creator who shares evidence-based advice on skincare, hair health and nutrition with over half a million followers. She's the founder of Nyra Nutrition, a pharmacist-formulated supplement brand.

We talk about what's actually happening when your hair starts shedding and whether it's the drug or the weight loss, how long it really takes to come back, whether anything genuinely speeds that up, the nutrient deficiencies worth worrying about, and which supplements are worth your money and which are expensive gimmicks. She also covers how to read a supplement label properly, what interactions to watch for alongside these medications, and the things people are too embarrassed to ask a pharmacist.

🎙 Hosted by: Marc McKee
📍 Featuring: Nyrah Saleem MPharm

🔗 Connect with Nyrah
📸 Instagram: @healthwithnyrah
📲 TikTok: @healthwithnyrah
📺 YouTube: @Healthwithnyrah
🔗 Nyra Nutrition: https://www.nyranutrition.co.uk
🔗 Linktree: linktr.ee/nyrahsaleem

🔗 Connect with Marc
📲 TikTok: @my.journey.with.marc
📸 Instagram: @my.journey.with.marc
📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast

🎧 New episodes every Tuesday at 6am.

Sources referenced in this episode:

• Gupta AK et al., "GLP-1 therapies and hair loss: a systematic review of current evidence and implications for counseling", Science Progress, 17 April 2026
• Vitamin D intake data: Frontiers in Nutrition, April 2025 (n=69)

A billion people worldwide are living with obesity. The medications finally work. And fewer than one in ten of the people who could benefit will get them by 2030.

In this episode I'm joined by Dr Fatima Cody Stanford, obesity medicine physician-scientist at Massachusetts General Hospital and Associate Professor at Harvard Medical School. One of the first fellowship-trained obesity medicine physicians in the world, she has published over 300 peer-reviewed papers, sat on the 2025 US Dietary Guidelines Advisory Committee, and contributed to the Lancet Commission that redefined clinical obesity. Many of you will know her from Oprah's weight-loss special.

We talk about what's coming next: the triple agonist retatrutide, which produced average weight loss of over 28% in trial results presented in June, with two thirds of people on the top dose finishing no longer clinically obese. We also cover why almost nobody will be able to get it, the black market already selling it, why people with type 2 diabetes lose less weight on these drugs, and the body dysmorphia that doesn't disappear when the weight does.

🎙 Hosted by: Marc McKe
📍 Featuring: Dr Fatima Cody Stanford, Massachusetts General Hospital & Harvard Medical School

Follow Dr Stanford:
Instagram: @askdrfatima
Website: askdrfatima.com

🔗 Connect with Marc
📲 TikTok: @my.journey.with.marc
📸 Instagram: @my.journey.with.marc
📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast

🎧 New episodes every Tuesday at 6am.

Sources referenced in this episode:
- World Health Organization, first global guideline on the use of GLP-1 medicines in treating obesity, published 1 December 2025.
- TRIUMPH-1 figures from Eli Lilly's topline release, 21 May 2026, and Dr Ania Jastreboff's presentation at the 86th ADA Scientific Sessions, 6 June 2026. Presented at conference and not yet peer-reviewed.
- TRANSCEND-T2D-1, The Lancet, June 2026.
Lancet Commission on the definition and diagnosis of clinical obesity, January 2025.

Three quarters of people in the semaglutide trials had a gastrointestinal side effect. Only four per cent of UK adults were eating enough fibre before any of this started. So we've put millions of people on a medication that slows the gut down, in a country that was already barely eating any fibre, and then wondered why everyone feels awful.

In this episode I'm joined by Dr Karan Rajan, an NHS surgeon, university clinical lecturer and one of the most-followed health educators in the world, with well over ten million people following him for his myth-busting videos. He's the author of the number one Sunday Times bestseller This Book May Save Your Life and of This Is Vital Information, host of the podcast Dr Karan Explores, founder of LOAM Science, and Chief of Science at gut health company Throne Science.

We talk about what these medications are actually doing in your gut and why the side effects are so varied, which of them you can do something about and which you simply have to ride out, why fibre matters far more than anyone told you, the single biggest piece of GLP-1 misinformation currently circulating, and the moral undertone that says taking these drugs is somehow cheating.

🔗 Connect with Dr Karan Rajan
📸 Instagram: @drkaranrajan
📲 TikTok: @dr.karanr
📺 YouTube: @DrKaranRajan
🔗 Website: https://www.drkaranrajan.com/
🎧 Podcast: Dr Karan Explores – https://www.drkaranrajan.com/podcast

LOAM Science
📸 Instagram: @loamscience
📲 TikTok: @loamscience
🔗 Website: https://loamscience.com Use JOURNEY15 for 15% off.

🔗 Connect with Marc
📲 TikTok: @my.journey.with.marc
📸 Instagram: @my.journey.with.marc
📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast

🎧 New episodes every Tuesday at 6am.

Sources referenced in this episode:

• Wilding et al., "Once-Weekly Semaglutide in Adults with Overweight or Obesity" (STEP 1), New England Journal of Medicine, 10 February 2021
• British Nutrition Foundation, "Dietary Fibre in 2026", drawing on NDNS 2019–2023

Losing weight on a GLP-1 can completely change your life… but it doesn’t always come without challenges.

In this episode of This Is My Journey, Marc McKee sits down with Anna Cadman (@dexbudsnewchapter), who has lost an incredible 8 stone using GLP-1 medication.

Anna shares her full journey, from what life was like before starting, to the moment she decided to take that step, and how her mindset, confidence and relationship with food have changed along the way.

More recently, Anna has also faced serious health challenges, including pancreatitis and gallstones, adding a new layer to her journey and forcing her to navigate progress while prioritising her health.

This is a real, honest conversation about transformation, resilience and what comes next.

We talk about:

• Starting a GLP-1 journey and overcoming hesitation
 • Losing 8 stone and what it really feels like day to day
 • Changes in mindset, confidence and identity
 • Food noise and relationship with food
 • Reactions from others and sharing the journey online
 • Navigating pancreatitis and gallstones during weight loss
 • Thinking about maintenance and the future
 • Advice for anyone starting their journey

If you’re on a GLP-1, considering it, or just want to hear a real story from someone living it, this episode will resonate.

Follow Anna:
 TikTok: @dexbudsnewchapter

🔗 Connect with Marc

📲 TikTok: @my.journey.with.marc | @my.skinjourney.with.marc
📸 Instagram: @my.journey.with.marc

📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast

🎧 New episodes every Tuesday at 6am.

Support on a weight loss journey isn’t always what you expect.

In this episode of This Is My Journey, Marc McKee sits down with friends Emma Cottey (@EmmasHealthMission)and Rue Ndabaline (@JourneyWithRue) for a raw and honest conversation about transformation, friendship, and what really happens when your life starts to change.

After losing 126lbs (9 stone), Marc reflects on the role that support, or lack of it, can play in a journey like this, while Emma and Rue share their perspective on what they saw, what they felt, and what was happening behind the scenes.

This episode is about more than weight loss. It’s about relationships, identity, and how your connections with people can shift as you grow.

Topics discussed include:

• The lowest points before starting a journey
• Struggles people don’t always talk about
• How others see your transformation
• Changes in friendships during weight loss
• What real support actually looks like
• The difference between giving and receiving support
• Growth, reflection and what still feels unfinished

Follow Emma and Rue:

Instagram/TikTok: @EmmasHealthMission
Instagram/TikTok: @JourneyWithRue

🔗 Connect with Marc

📲 TikTok: @my.journey.with.marc | @my.skinjourney.with.marc
📸 Instagram: @my.journey.with.marc

📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast

🎧 New episodes every Tuesday at 6am.

Loose skin after significant weight loss is something many people experience, but very few people feel prepared for.

In this episode of This Is My Journey, Marc McKee sits down with Dr Gediminas Samulėnas, board-certified plastic surgeon at Nordesthetics, to talk honestly about excess skin after weight loss and when surgery may or may not be the right option.

After losing 126lbs (9 stone) himself, Marc brings the patient perspective to this conversation, while Dr Samulėnas shares expert insight into what happens to the skin after major weight loss, why it occurs, and how people can approach decisions around surgery responsibly.

This episode focuses on education, expectations, and helping people feel informed when navigating the next stage of their transformation journey.

Topics discussed include:

• Why loose skin happens after significant weight loss
• Factors that influence skin elasticity
• When it may be appropriate to consider surgery
• Common misconceptions around excess skin surgery
• Facial and neck changes after weight loss
• How surgeons help patients set realistic expectations
• What to look for when choosing a surgeon or clinic
• The importance of emotional readiness before surgery

Follow Dr Samulėnas and Nordesthetics:

Instagram: @dr.samulenas
Instagram: @nordesthetics_clinic

🔗 Connect with Marc

📲 TikTok: @my.journey.with.marc | @my.skinjourney.with.marc
📸 Instagram: @my.journey.with.marc

📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast

🎧 New episodes every Tuesday at 6am.

Loose skin after weight loss is something millions of people experience, but it’s rarely talked about honestly.

In this solo episode of This Is My Journey, Marc McKee from My Journey with Marc shares his personal experience after losing 126lbs (9 stone) using Mounjaro and how his skin changed throughout the journey.

Marc opens up about the emotional side of transformation, the areas of his body that changed the most, and the skincare routines, treatments and technologies he experimented with along the way.

This episode also introduces the philosophy behind ElastiK Skin, a skincare system designed to support skin through periods of visible change such as weight loss, ageing and lifestyle transformation. Marc explains the thinking behind the Skin in Evolution Framework, why consistency matters more than miracle products, and how hydration, elasticity support, barrier repair and light-based skincare technology can work together to support the skin long term.

Topics discussed include:
• Loose skin after weight loss
• Facial changes during GLP-1 weight loss
• Skincare routines during transformation
• Peptides and skin elasticity
• Hydration and barrier repair
• Red light therapy and LED masks
• The Skin in Evolution Framework
• Supporting skin through long-term change

Follow ElastiK Skin for skincare education and updates:

Instagram: @elastikskin
TikTok: @elastikskin
Facebook: @elastikskin

Visit www.elastikskin.com and sign up to the VIP list for launch information, exclusive discounts and to be first to get access to the Skin in Evolution Framework.

🔗 Connect with Marc

📲 TikTok: @my.journey.with.marc | @my.skinjourney.with.marc
📸 Instagram: @my.journey.with.marc

📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast

🎧 New episodes every Tuesday at 6am.

In this episode of This Is My Journey, I’m joined by James, who started his GLP-1 journey on 31 March and has since lost over 8 stone.

James began feeling sceptical about GLP-1 medication and carried a lot of shame around his weight. Like many people, he was stuck in the “I’ll start on Monday” mindset and believed he should be able to do it naturally.

Since starting his journey, he has:

•  Lost over 8 stone
• Reversed pre-diabetes
• Lowered his blood pressure
• Gained the clarity to build real habits
• Started running and going to the gym

This episode is about mindset shifts, food noise, confidence, and what becomes possible when the mental fog lifts.

We talk about:

• Overcoming scepticism around GLP-1s
• Breaking the cycle of shame
• Why clarity matters more than willpower
• Building sustainable habits
• Confidence after weight loss

If you’re on a GLP-1, considering it, or feeling stuck in the “start Monday” cycle, this conversation will resonate.

Follow James:

Instagram / TikTok: @transforming.james

🔗 Connect with Marc

📲 TikTok: @my.journey.with.marc | @my.skinjourney.with.marc
📸 Instagram: @my.journey.with.marc

📺 YouTube: @myjourneywithmarc
🎧 Podcast IG: @this.is.my.journey.podcast

🎧 New episodes every Tuesday at 6am.