Browse the evidence

Telemedicine (video visits) delivers clinically significant weight loss outcomes equivalent to in-person care for patients with overweight or obesity receiving medically managed treatment with anti-obesity medications.

If you are using weight loss medication, seeing your doctor via video is just as effective for losing weight as seeing them in person. In fact, video visits might allow you to see your provider more often (median 5 times vs 4) because it is easier to schedule, which supports better adherence to your treatment plan.

GLP-1 receptor agonists (GLP-1RAs) induce weight loss and improve metabolic function in patients with hypothalamic obesity (HO), with efficacy potentially independent of the extent of hypothalamic damage.

If you have hypothalamic obesity, standard diets and exercise often fail because the brain's 'thermostat' is broken. GLP-1 medications (like semaglutide or liraglutide) work by targeting brain areas outside the damaged hypothalamus to signal fullness. While results vary, many patients experience significant weight loss and metabolic improvement, especially if the medication is started at a low dose and increased slowly to manage side effects.

GLP-1 receptor agonists accelerate preoperative weight loss in obese patients undergoing elective hernia repair, significantly reducing time to surgery compared to lifestyle modifications alone, without increasing postoperative complication rates.

If you are obese and need hernia surgery, using GLP-1 medications (like semaglutide) alongside diet and exercise can help you reach your weight loss goal much faster than diet and exercise alone. This means you can get your surgery sooner without increasing your risk of complications. Talk to your surgeon about whether this is an option for you, keeping in mind that insurance coverage and cost may be barriers.

A national produce prescription program for patients with diabetes and food insecurity is projected to improve diet, BMI, and HbA1c, thereby reducing long-term cardiovascular disease outcomes, improving quality-adjusted life-years, and generating health care cost savings.

If you have diabetes and struggle with food insecurity, a produce prescription program can help you eat more fresh fruits and vegetables. This change in diet can lower your risk of heart disease and diabetes complications, improve your daily quality of life, and potentially save money on healthcare costs over time. Talk to your healthcare provider about accessing such programs.

Targeting the Ghrelin Receptor (GHSR1a) with inverse agonists or antagonists like LEAP2 reduces food intake and postprandial glucose, offering a potential treatment for type-2 diabetes and obesity.

A new approach to blocking hunger involves a natural peptide called LEAP2. In a small study, giving LEAP2 intravenously reduced how much people ate and lowered their blood sugar after meals. This suggests it might help people with type-2 diabetes or obesity, but more research is needed to see if these benefits last long-term.

Ten weeks of high-intensity interval training (HIIT) partially restores muscle proteostasis in obese, insulin-resistant men by increasing the turnover rates of specific proteins, although it does not fully mitigate indicators of poor proteome health.

If you have obesity and insulin resistance, 10 weeks of HIIT (3x/week, cycling at max effort for 1-minute intervals) can significantly improve the turnover and abundance of key muscle proteins. While this doesn't erase all metabolic risks or fully normalize your muscle proteome, it does partially restore a critical aspect of muscle health (proteostasis) that is typically compromised in obesity.

Whey protein supplementation alone has no significant effect on lean mass or muscle strength in healthy older adults, but significantly improves lean mass and physical function (specifically gait speed) in sarcopenic or frail older adults.

If you are a healthy older adult, whey protein alone is unlikely to build muscle or strength. However, if you have sarcopenia or frailty, whey protein can significantly improve your muscle mass and walking speed. Focus on your health status rather than just the supplement.

Substituting low- and no-calorie sweetened beverages (LNCSB) for sugar-sweetened beverages (SSB) is associated with lower body weight and reduced risk of coronary heart disease, type 2 diabetes, and mortality, with effects comparable to substituting water for SSB.

If you currently drink sugar-sweetened beverages, switching to low- or no-calorie sweetened beverages (like diet soda or unsweetened iced tea) can help you lose a small amount of weight over time and may lower your risk of heart disease and type 2 diabetes. This benefit is similar to switching to water, making LNCSBs a viable, safe option for reducing sugar intake.

Targeted dietary antioxidants (Vitamins C/E, polyphenols, carotenoids) and supplements (CoQ10, Omega-3) reduce oxidative stress and enhance energy levels in healthcare professionals by neutralizing reactive oxygen species and supporting mitochondrial ATP synthesis.

Healthcare workers under high stress should prioritize foods rich in antioxidants (citrus, berries, nuts, olive oil) and consider supplements like CoQ10 or Omega-3s to combat fatigue and oxidative stress. These interventions support mitochondrial energy production and reduce the physical toll of long shifts.

Coenzyme Q10 supplementation enhances mitochondrial function and ATP synthesis, thereby reducing fatigue and improving energy levels in high-stress environments.

Consider CoQ10 supplementation (100-200mg daily) to support mitochondrial energy production, especially if you are over 50 or experience high fatigue.

Omega-3 fatty acids reduce inflammation and oxidative stress, supporting cognitive function and mental resilience in high-stress healthcare environments.

Incorporate Omega-3 rich foods (fatty fish, olive oil) or supplements to reduce inflammation and support cognitive function.

BCAA supplementation may attenuate muscle soreness and recovery decrements in resistance-trained athletes, but effects are inconsistent in endurance sports.

If you do heavy resistance training, BCAAs might help slightly with muscle soreness, but the evidence is not strong enough to recommend them as a primary recovery tool. Focus on post-workout meals with complete protein. For endurance athletes, BCAAs do not consistently help with recovery or soreness.

Gut microbiota composition and metabolites play a critical role in the crosstalk between dietary patterns and cardiometabolic health, suggesting personalized dietary strategies based on microbiota profiles.

While general healthy dietary patterns are beneficial, individual responses vary. Future personalized nutrition strategies may involve testing gut microbiota to tailor dietary patterns for optimal cardiometabolic health.

Time-restricted eating (TRE), specifically early TRE, can improve cardiometabolic markers such as blood pressure and glucose control even in the absence of weight loss (eucaloric conditions).

If you have prediabetes, try eating within an early window (e.g., 8 am to 4 pm) without changing your total calories. You might see improvements in blood pressure and blood sugar control even if your weight stays the same.

High-volume resistance training (>10 sets per muscle group) performed in a fasted state may benefit from acute carbohydrate supplementation compared to fasting or non-caloric placebo, likely due to glycogen sparing effects.

If you do a very high-volume leg or back session (e.g., 15+ sets) and you train fasted, consider eating carbohydrates before or during the workout. It will likely help you get more reps or sets. If you train fed, or do low volume, you don't need to worry about pre-workout carbs.

Tirzepatide significantly reduces HbA1c and body weight in adults with Type 1 Diabetes (T1D) without increasing the risk of diabetic ketoacidosis (DKA) or time below range.

If you have Type 1 Diabetes and struggle with weight or high blood sugar despite insulin, ask your doctor about tirzepatide. This study shows it can lower your A1c and help you lose significant weight (over 10% in some cases) without increasing the risk of dangerous ketones or low blood sugar, provided it is managed carefully by a specialist.

Newer emerging anti-obesity medications, specifically GLP-1/GIP/Glucagon receptor agonists (e.g., tirzepatide, retatrutide), demonstrate superior weight loss efficacy compared to older single-mechanism drugs.

Newer drugs like tirzepatide (Mounjaro/Mounjaro) can lead to nearly 21% weight loss in some patients, significantly higher than older drugs. These require weekly injections and are more expensive. Discuss with your doctor if the higher efficacy justifies the cost and injection burden for your specific health goals.

Empirical metrics such as the 10:1 carbohydrate-to-fiber ratio (and modified versions including added sugar limits) effectively identify high-quality carbohydrate products and are associated with better cardiometabolic health markers, including lower triglycerides and improved insulin sensitivity.

When choosing packaged carbohydrate-rich foods, look for the 10:1 carbohydrate-to-fiber ratio. This means for every 10 grams of total carbohydrate, there should be at least 1 gram of fiber. Modified ratios that also limit added sugars (e.g., <1g or <2g added sugar per 10g carb) are even better. This simple metric helps you avoid refined grains and added sugars while prioritizing nutrient-dense options.

The NOVA classification system, which categorizes foods based on the extent and purpose of processing, is a more useful framework for public health than nutrient-based classification systems.

Use the NOVA framework: prioritize unprocessed or minimally processed foods (Category 1), limit processed culinary ingredients (Category 2), and avoid ultra-processed foods (Category 4). This is simpler and more effective than focusing solely on nutrient counts.

AI-driven behavioral weight loss (BWL) interventions using reinforcement learning can achieve weight loss outcomes (approx. 7%) comparable to intensive human coaching but with significantly reduced contact hours (one-third the coaching time).

If you are struggling with the cost or availability of intensive weight loss coaching, look for programs that use AI-driven behavioral coaching. These systems can adapt to your progress in real-time, potentially offering similar weight loss results to intensive human coaching but with less required contact time. Ensure the program uses dynamic feedback (like text or app notifications) rather than just static advice.

Mobile health (mHealth) applications and wearable technology can lead to modest reductions in body weight and BMI, but long-term benefits may diminish once device usage stops, suggesting the Hawthorne effect or need for continuous engagement.

Using a fitness tracker and health app can help you lose a small amount of weight and improve your BMI, but you must use it consistently. If you stop using the device, the benefits may disappear. To make it work, integrate it into your daily routine and consider it a tool for accountability rather than a magic solution.

A ketogenic diet (KD) improves insulin sensitivity and reduces insulin requirements in patients with type 2 diabetes and obesity by lowering glycemic response and reducing pancreatic insulin secretion.

To improve insulin sensitivity, restrict carbohydrates to under 50g per day while maintaining high fat intake (approx 75% of calories) and moderate protein (1-1.4g/kg). Expect initial side effects like fatigue or 'keto flu' due to electrolyte shifts, which typically resolve as your body adapts.

GLP-1 receptor agonists (semaglutide, tirzepatide) and bariatric surgery (RYGB) extend the duration of weight loss prior to plateau by weakening the physiological appetite feedback control circuit, whereas diet restriction fails to weaken this circuit and thus plateaus within ~12 months.

If you are using GLP-1s or had surgery, your prolonged weight loss is due to a physiological change in how your body regulates appetite, not just willpower. Dieting alone triggers a strong appetite feedback loop that causes early plateaus; these interventions bypass that loop.

Exogenous ketone sources, specifically medium-chain triglycerides (MCTs) and ketone esters, increase energy expenditure and reduce energy intake when consumed in the context of high carbohydrate availability.

If you are eating a high-carbohydrate diet, adding MCT oil or ketone esters may slightly boost your energy expenditure and reduce your hunger. However, the effect is small ('slightly enhanced weight loss') and not a substitute for a balanced diet. It is not a magic bullet.