Dr Ann M Hester On What You Need To Know Before You Consider Taking Weight Loss Drugs

An Interview With Maria Angelova

Reflect on the barriers preventing you from enhancing your workout regimen. Be creative to overcome these barriers. If you sit at a desk all day, get a stand-up desk and walk in place during meetings and at various times of the day. Buy an under-the-desk elliptical or bicycle and work-out as you type up a memo. Invest in a treadmill and put in smack dab in front of the TV if you spend a lot of time watching television. Walk while you watch your favorite shows. Before you know it, the show will be over and you will have burned a lot of calories.

The pursuit of healthy weight management is a journey many of us embark on. In a world where quick fixes are often sought after, weight loss drugs have found a notable presence. However, like any medical intervention, there’s a need for understanding, caution, and professional guidance before considering such options. In this interview series, we are talking to doctors and medical and wellness professionals about the science, safety, efficacy, and ethical considerations surrounding weight loss drugs. As a part of this series, I had the distinct pleasure of interviewing Ann M. Hester, M.D.

Ann M. Hester, M.D. is a board-certified internist with close to 30 years of clinical experience. She is the creator of Patient World, an online platform for fun and engaging on-demand health and wellness courses, and author of Patient Empowerment 101: More than a book, it’s an adventure!

Thank you so much for joining us! Our readers would love to “get to know you” a bit better. Can you tell us a bit about your ‘backstory’?

Definitely! My dad was a primary care physician in Evansville, IN many years ago. His influence in the community was so profound that the city’s community center was renamed the C.K. Newsome Community Center in his honor after he passed away. I was always in awe of his vast vocabulary of complex medical terms and wanted to be like him, in some way. When his former patients expressed to me how much he had impacted their lives, a warm feeling would wash over me. It was so inspiring.

Initially, the thought of dedicating seven years to medical education and training was daunting, and I wasn’t keen on it. However, my perspective shifted after my father’s sudden death during my sophomore year of college. My life’s path transformed. Thankfully, I had the guidance of my two older brothers, both physicians, and their journeys influenced me in many ways.

Upon entering medical school, I was taken aback by the profound pain and suffering I witnessed. Even as a student, I got involved in multiple community-centered organizations, realizing that I didn’t need to wait to become a doctor to instigate change. In my third year of medical school, I began penning my first book and wrote another a few years after that. In 2022, I released what might be my final book titled “Patient Empowerment 101: More than a book, it’s an adventure!” Empowering patients has always been my passion, and this book is a reflection of years of experience encapsulated in an engaging and easy read.

Can you share with us the most interesting story from your career? Can you tell us what lessons or ‘takeaways’ you learned from that?

I can vividly recall standing outside the ICU’s waiting area at the Regional Medical Center in Memphis. As a resident physician I was faced with the heartbreaking duty of informing a woman about the loss of her loved one. He suffered a cardiac arrest, and despite our best efforts, we couldn’t revive him. Her anguished scream and the way she collapsed, inconsolable, still haunt me decades later. Her loved one was not of advanced age, and she had every hope he would recover and return home. Regrettably, the compounded effects of multiple chronic conditions, including hypertension and diabetes, likely aggravated by obesity, took him away prematurely. He deserved more years. Even after all these years, that moment lingers in my memory. This early experience solidified my commitment to focus on education, empowerment, and prevention throughout my life.

You are a successful leader. Which three character traits do you think were most instrumental to your success? Can you please share a story or example for each?

Perseverance is vital. When you think you just can’t keep going, you must. It builds character and strength to make it thru difficult times in the future. There were times when I was sleep-deprived, irritable, hungry, and emotionally distraught. One shift, well before the cap on residents’ work hours took place, I worked for 72 hours. One of those days was spent moonlighting in the VA emergency room and the other two were part of my clinical duties as a resident. When I look back on that time, I wonder what on earth I was thinking. Specifically, why would I sign up for an extra 24-hour shift between two mandated 24-hour shifts? But looking back also gives me strength, knowing how much can be accomplished by pushing boundaries to the limit.

Dedication is another key trait. There will be times that others don’t agree with you. At times others may not see your vision, but it’s crystal clear to you. Don’t let it go, despite what the naysayers think. A couple of decades ago, determined to help the lay public understand key principles that would enable them to communicate with doctors on a highly effective level and expedite their own diagnoses and lower their medical bills, I wrote my second book, Your Family Medical Record: An Interactive Guide to Getting the Best Care. The book also explained the importance of creating a personal medical record and what it should contain. I created a glossary of commonly used medical terms so people could better understand important medical jargon. I even added an appendix with common medical tests, why they are ordered, and terms physicians may use when explaining the results. John Wiley & Sons, Inc. published it and I was absolutely elated! But, two decades ago people didn’t seem to care much about being empowered patients. I was told, “My doctor tells me what to do and I just do it,” more than I care to remember.

Fast forward over twenty years. Yet my passion to empower never left me. I gave a talk based on the concepts taught in my book and the response was overwhelmingly positive. So, I decided to give it another try. I rewrote the book, taking the best parts of the initial one and adding 20 more years of experience. This time people were ready. Patient Empowerment 101: More than a book, it’s an adventure! has received editorial reviews beyond my dreams. I just couldn’t give up on empowering people, and you shouldn’t give up on your dreams either. One day, they just may come true.

The final trait is passion. If you’re passionate about what you do, you can’t give up. When you believe in your vision, you naturally keep plugging along for however long it takes to make your dream a reality. My passion to become a physician so I could spend my life helping people kept me going, even when some people around me questioned if I had what it takes to make it thru the rigors of medical school and residency.

Ok, thank you for all that. Now let’s shift to the main focus of our interview. To begin, can you share with our readers a bit about why you are an authority in the fields of health, obesity, or weight loss? In your opinion, what is your unique contribution to the world of wellness?

In my career as an internal medicine specialist, I’ve stood by thousands navigating the challenges of obesity-linked health issues. Each individual, with their unique narrative, showcased the myriad factors associated with obesity. While for some, genetics were dominant, the majority echoed a similar pattern — lifestyle choices. It pained me to see many fall victim to illnesses that might have been sidestepped with a healthier weight. While we can’t escape the inevitability of death, we can certainly aim to prevent its premature arrival. My mission? To arm as many as I can with tangible tools to not just survive, but thrive.

Decades ago in medical school, Dr. A.K. introduced us to the concept of the body’s weight set point. He told us that when people put on excess weight early in life they may face a lifelong struggle because the brain gets used to that weight and fights to maintain it. That theory faced skepticism back then, but today’s evidence reinforces its accuracy. This emphasizes the complexity of obesity; it’s a chronic medical condition, not merely a testament to one’s willpower.

The evolving landscape of obesity research excites me, especially insights into hunger hormones’ roles and the potential dangers some processed foods pose to our metabolic brain cells. Committed to staying at the forefront, I’ve undertaken various advanced medical education courses on this subject. I’m currently crafting an online obesity course for the Patient World platform, targeting a winter 2023 release. My fervor lies in empowerment, striving always to diminish the heart-wrenching moments when doctors must bear the devastating news of an untimely passing.

Do you have any financial affiliations or conflicts of interest related to weight loss drugs that readers should be aware of?

No, I do not.

When should a person consider using weight loss drugs to lose weight?

Navigating the maze of weight loss can feel overwhelming. As the scales tip and the world becomes more health-conscious, the influx of diet fads and “quick fixes” bombard us at every corner. But what’s the real story behind sustainable weight loss and health?

Carrying extra weight isn’t just about numbers on a scale. It’s a burden that affects our minds and bodies alike. The stakes are high, from feelings of inadequacy to the tangible risks of chronic diseases. Yet, amidst the storm of trending diets, many find themselves trapped in weight loss and gain cycles, seeking solutions but often feeling adrift.

Venturing into medication for weight management should be a careful decision, balanced by the risks and rewards. No medication comes without its set of potential risks. However, the ultimate aim is to achieve and maintain a healthy weight and thus decrease the risk of obesity-related ailments.

But before you tread the pharmaceutical path, let’s journey through the foundations of natural wellness. First, prioritize whole foods like vegetables, fruits, lean proteins, whole grains, and healthy fats. Avoid processed foods, for some have been shown to be toxic to cells in the metabolic center of the brain and can contribute to weight gain. Stock up on nutritious foods and minimize temptation. Dedicate areas for eating without the distractions of screens. And mindful eating matters. Slow down, enjoy each bite, and tune into your body’s hunger and fullness signals. Quench your thirst with water, which could be mistaken by our bodies as hunger.

Keep it moving! Dive into exercises like walking, jogging, or swimming. Aim for consistency in aerobic activities weekly. Focus on strength training at least twice a week.

Envision your end goal, but break it down into manageable steps. Connect with communities or buddies who share your health aspirations. Ensure you get a good night’s sleep, which is crucial for overall health and weight management. It’s also essential to consult with your doctor to understand any underlying conditions or medications that might affect your weight.

Consistency is your compass in this journey. While it’s tempting to lean on extreme diets or quick solutions, true transformation is a marathon, not a sprint.

The impact of obesity is vast. In 2021, heart disease, cancer, stroke, diabetes, and chronic liver disease — five of the ten primary death causes in the USA, were closely tied to obesity, per CDC’s findings. Exhaust the safest, most natural weight loss approaches first. But if they are not enough to optimize your weight and minimize health risks, move to the next step. For many that is weight loss medication.

What are common examples of effective weight loss medications?

Several medications are FDA-approved for overweight or obesity, but none is a panacea, and all should be considered one part of the arsenal to lose weight. Healthy eating, behavior modification, and physical activity are vital components of sustained weight loss as well. Without these supplementary interventions, the medication will be less effective. When the medication reaches its maximal therapeutic effect, a person plateaus in weight loss attributable to that medication, but that doesn’t mean the medicine stopped working. Once the medication is stopped, it is expected that the person will regain weight. That is why other measures, such as diet and exercise are so crucial.

Classes of drugs include:

• Glucagon-like peptide 1 (GLP-1) receptor agonists, semaglutide and liraglutide, both administered by injection
• Phentermine-topiramate
• Bupropion-naltrexone
• Orlistat
• Noradrenergic sympathomimetic medications (medications with adrenal-like properties) include Benzphetamine, Diethylpropion, Phentermine, and Phendimetrazine.

What are the potential side effects of weight loss with medication?

• Semaglutide and liraglutide may cause nausea, vomiting, diarrhea, or constipation. Low blood sugar may occur in patients with type 2 diabetes. An increased heart rate may occur. An increase in the pancreatic enzyme lipase is possible. Since these are injectable medications, local reactions can occur.
• Phentermine-topiramate may cause a dry mouth or taste disturbance. Some experience constipation. Other potential side effects include a rapid heart rate, depression, or anxiety. At higher doses, sleep patterns may be disturbed. Cognitive disturbances and strange sensations may also occur. One of the more concerning precautions is the abuse potential.
• Bupropion-naltrexone can cause a rapid heart rate or mild increase in blood pressure. Nausea, vomiting, dry mouth, and constipation are potential side effects as well. Headaches, dizziness, and sleep disturbances can also occur.
• Orlistat use may result in abdominal cramps, loss of fecal control, oily spotting, and flatulence. The absorption of fat-soluble vitamins (vitamins K, A, D, and E) may also be impaired.
• Noradrenergic sympathomimetic medications may increase the heart rate and blood pressure. They can also cause nervousness, insomnia, dry mouth, and constipation. Because they have amphetamine-like properties, there is the potential for abuse. These medications are not as widely recommended as the others due to their potential for adverse effects.

How do weight loss drugs compare to other methods of weight loss in terms of effectiveness and safety?

Studies on the impact of lifestyle modifications on weight loss have yielded varied results. Generally, individuals can expect to lose 5–8% of their body weight, although some experience even more significant reductions.

Drawing from UpToDate, a trusted medical reference, combining anti-obesity medications with lifestyle changes has shown potential weight loss ranging from 5% to an impressive 22.5%. The American Society of Bariatric Surgery (ASMBS) endorses various weight loss surgeries. In 2020, approximately 199,000 procedures were performed in the USA.

Here is the breakdown:

• 61.4% were sleeve gastrectomies.
• 20.8% underwent Roux-en-Y gastric bypass.
• 1.2% chose adjustable gastric banding.
• 1.8% went for biliopancreatic diversion-duodenal switch.
• 1.4% opted for intragastric balloons, while the remaining surgeries comprised less than 1%.

The weight loss outcome post-surgery depends on the procedure. After two years, those who underwent Roux-en-Y gastric bypass can anticipate excess weight loss nearing 70%. Sleeve gastrectomy patients often see a reduction of close to 60%. The biliopancreatic diversion-duodenal switch boasts between 70 to 80%. The intragastric balloon procedure also gives significant results, though typically less pronounced than its counterparts. However, it’s essential to clarify that these figures represent the loss of excess weight, not total body weight reduction.

Are there certain populations or groups of individuals for whom weight loss drugs are particularly beneficial or harmful?

Just as every key fits a specific lock, not every drug is a one-size-fits-all solution. Imagine two people standing side by side: a 55-year-old with a history of heart disease and an energetic 25-year-old with a heart that’s never skipped a beat. Give them the same medication, one that causes the heart to race, and you could be writing two very different stories. The older individual’s risk would be far greater. Similarly, someone with a sensitive stomach might fare poorly with meds known to stir up nausea.

It’s like being a detective — prescribing the perfect drug isn’t just about what it treats but understanding the mysteries of the body it’s treating. Every underlying condition, every shadow in a patient’s medical history, can change the course of treatment.

Yet, consider someone battling the scales, teetering on the edge of life-threatening weight-related conditions. For them, pursuing health might mean embracing any lifeline — be it a pill, a surgical procedure, or simply lifestyle modifications. Everyone deserves the chance to seize the best solution for their unique story. It’s a balance, always, between safety and salvation.

In your professional opinion, is it ok or not ok to take medications created for alternative health conditions (like diabetes) for weight loss?

Consider aspirin: initially introduced as a simple painkiller, but it can be a lifesaver in the face of a heart attack or stroke. Above all, safety is paramount. When the FDA approves a medication, it signifies rigorous clinical trial evaluations. Everyone should be well-informed about their medications’ general and severe side effects, and this scenario is no exception. When weighing the pros and cons of a weight loss pill, or any drug for that matter, having comprehensive knowledge empowers one to make an enlightened choice.

What are the potential side effects or dangers of taking medications aimed at alternative health conditions for weight loss? What are the benefits?

People with type 2 diabetes who take semaglutide may experience low blood sugar, especially if they’re also on other diabetes treatments like insulin or specific oral drugs. Medications can affect people differently. For example, while many tolerate low doses of aspirin without issues, it can upset sensitive stomachs. In cases like a heart attack, the life-saving benefits of aspirin outweigh its minor side effects. Thus, it’s essential for doctors and patients to evaluate the pros and cons of every medication or treatment option.

Based on your research or experience, can you please share your “5 considerations one should take into account before commencing weight loss through medicine?”?

1. Before turning to medication as a solution, consider safer options, such as lifestyle modifications. I recall the release of Phen-Fen years ago. It was all the rave. Numerous patients asked for a prescription, but based on my research, I chose not to prescribe it, even under pressure. I was skeptical about its long-term safety. In time, this drug combination was removed from the market because of health risks. Therefore, avoid jumping onto every emerging trend. Wait for comprehensive studies and real-world experiences.

2. Reflect on whether you’ve genuinely done everything you can to optimize your diet. Have you made dietary adjustments? Do you check food labels? Have you replaced unhealthy fats with healthier ones? I recall a patient of mine who was severely overweight. After several counseling sessions about his lifestyle choices, he suddenly stopped coming to see me. He was such a kind man, I worried I might have upset him. Then, one day, I entered the examining room to be greeted with a wide smile from a familiar face. “Dr. Hester, I lost 99 lbs! I planned to see you after hitting 100 lbs, but I’ve got this cough and had to come in.” That encounter remains one of the most fulfilling moments in my long medical career. What appears unattainable could be within reach, and perhaps easier than you imagine.

3 . Reflect on the barriers preventing you from enhancing your workout regimen. Be creative to overcome these barriers. If you sit at a desk all day, get a stand-up desk and walk in place during meetings and at various times of the day. Buy an under-the-desk elliptical or bicycle and work-out as you type up a memo. Invest in a treadmill and put in smack dab in front of the TV if you spend a lot of time watching television. Walk while you watch your favorite shows. Before you know it, the show will be over and you will have burned a lot of calories.

Understand the vast health advantages that accompany consistent exercise, beyond just weight control. Engaging in regular physical activity can reduce the likelihood of heart attacks and specific types of cancer, for instance. Moreover, working out triggers the release of endorphins, elevating your mood. The importance of consistent exercise cannot be overstated. During my time as a primary care physician, I encouraged numerous patients to increase their activity levels. While some struggled to incorporate it into their schedules, others adopted innovative approaches, making fitness a priority and sharing their progress with me along the way.

4 . Reflect genuinely on your commitment to adopting the necessary lifestyle shifts to maintain weight loss. If you’re looking for a quick solution through pills, you won’t achieve the most optimal results on your weight loss journey. Assess whether you’re truly prepared to do whatever is necessary to safely and positively alter your health trajectory. I’ve seen numerous patients hoping for a “miracle pill” through medication. For instance, some of my former patients believed their hypertension medication would compensate for their personal habits, thinking they could overlook actions like monitoring salt consumption, drinking responsibly, and maintaining regular exercise. However, when the significance of these lifestyle adjustments was emphasized to them and they complied with the recommendations, they found their blood pressure much easier to manage.

5 . For those apprehensive about using weight loss drugs, even despite a strong recommendation from a doctor, reflect on this: if your physician is deeply worried about your well-being, shouldn’t you be too? Many people prefer not to take prescription medications unless absolutely necessary, but there are times when medication can be life-saving. Early in my medical career, I encountered a patient in the ER experiencing a stroke. She had a blood pressure reading over 210/100. She relied on garlic for its natural properties and hadn’t taken her prescribed blood pressure medication. Sadly, this didn’t shield her from this life-threatening condition. It’s vital not to dismiss prescription medication when dealing with potentially severe health consequences. Obesity is a chronic disease, just like high blood pressure or diabetes, and it needs to be treated as such.

Are there any common myths or misconceptions about weight loss drugs that you’d like to address?

Indeed, in response to the question about weight loss drugs, there are several misconceptions to address. Many people mistakenly view weight loss medications as a “magic pill” that can allow them to shed pounds without any lifestyle adjustments. While some of these drugs might decrease appetite or enhance metabolism, they are most effective when paired with a balanced diet and consistent exercise. As cited by the Mayo Clinic in 2020, while they can aid in modest weight reduction, they can’t wholly substitute traditional diet and physical activity methods.

Another prevailing myth is that these drugs are universally safe. However, like any medication, they come with potential side effects, and their safety and efficacy can differ significantly depending on the individual. Some might face serious side effects, and underlying medical conditions could render certain medications inappropriate. A further misconception is that once individuals reach their weight goal, they can cease taking the medication without repercussions. However, stopping the drug without permanent lifestyle changes can often lead to weight regain.

Beyond these misconceptions, addressing other concerns surrounding weight loss medications is vital. There’s a potential dependency and psychological risk, as some drugs can be addictive. There might be a growing psychological dependence where individuals feel they can’t manage or reduce weight without the drug, which can negate natural and lasting weight loss techniques.

Moreover, the efficacy of these medications isn’t consistent across the board. Their effectiveness can depend on numerous factors, including an individual’s genetics, metabolism, diet, and activity level. Importantly, not every weight loss product, especially those available over-the-counter, undergoes the same level of regulation. Some might not be rigorously tested, emphasizing the need for consumers to be informed and cautious.

Lastly, many health experts advocate for a more holistic approach to weight loss, underscoring the role of diet, exercise, mental well-being, and proper sleep. Thus, while weight loss drugs can benefit some, they should be viewed as a component of a broader weight loss strategy and not the only solution.

Can you help articulate why it is important to upgrade one’s lifestyle in conjunction with medicated weight loss?

When you consider the intersection of lifestyle upgrades and medicated weight loss, it becomes clear that they together form a holistic approach to achieving and maintaining a healthy weight. Let me break it down. While medications can be incredibly effective in jumpstarting or assisting weight loss, there’s a sustainability factor to consider. Despite an accompanying change in lifestyle, there’s a high likelihood of regaining weight once the medication is stopped.

Moreover, it’s important to remember that weight loss is just one facet of health. When you make lifestyle changes, you also improve cardiovascular health, mental well-being, strength, and flexibility, among other health markers. This could translate to a reduced risk of chronic diseases and a better quality of life. And there’s a synergistic effect to think about. Medication and lifestyle changes can amplify the benefits of each other.

Regarding medications, their efficiency can sometimes be tied to one’s lifestyle. Some work better when combined with the proper diet and exercise. Consider drugs that suppress appetite; they can be more effective when the individual is also consuming a balanced diet. And the psychological benefits of a good lifestyle should be noticed. Regular physical activity and a healthy diet can significantly improve mood, reduce anxiety, and boost self-esteem, complementing the confidence one might gain from medicated weight loss.

A proactive lifestyle approach can also buffer against some side effects of weight loss medications. By maintaining a healthy lifestyle, the medication dosage needed might be reduced under the guidance of a healthcare professional. Furthermore, weight management is about more than just the number on the scale. It’s multifaceted. While medication might target specific areas, a broader lifestyle approach addresses diet, physical activity, sleep, stress management, and more.

Over time, as one makes substantial lifestyle changes, there might be a possibility to reduce or even eliminate the dependency on weight loss medications. This could lead to potential savings, both monetarily and regarding side effects. And let’s remember gut health. A diet rich in fiber, prebiotics, and probiotics can benefit digestion and harmoniously work alongside weight loss medications.

Lastly, building resilience is vital. Individuals can cultivate strength and discipline by developing and sticking to a healthier lifestyle. This proves crucial, especially when medication might be unavailable or if one decides to transition off of it.

To summarize, medicated weight loss is a powerful tool, but upgrading one’s lifestyle is paramount for long-term success and overall well-being. It’s always recommended to engage with healthcare professionals when contemplating medication and lifestyle shifts to ensure a strategy best suited for individual needs.

Beyond medication, what supplementary treatments or therapies do you recommend in conjunction with weight loss drugs for the best results?

When it comes to weight loss, the journey is often multi-faceted, requiring a harmonious blend of diet, exercise, behavior modifications, and sometimes, medications. While weight loss drugs can provide a helpful boost, achieving and maintaining a healthy weight typically requires more than just medication. Let’s explore some supplementary treatments and therapies that can maximize the effectiveness of weight loss drugs.

Personalized dietary counseling helps individuals make healthier food choices and understand the role of nutrition in weight loss. A registered dietitian can offer evidence-based guidance, tailored meal plans, and support in navigating dietary challenges.

Regular exercise is a pillar of weight loss and overall health. The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity weekly. Whether it’s walking, swimming, cycling, or aerobics, the key is finding something enjoyable and sticking with it.

But weight loss isn’t just about the body — it’s also about the mind. Cognitive behavioral therapy (CBT) helps individuals identify and change negative thought patterns and behaviors related to food. Studies have shown CBT can lead to significant weight loss and improve weight maintenance by addressing underlying psychological factors.

Mindful eating, a practice of paying full attention to the experience of eating and drinking, can be instrumental in understanding hunger cues and preventing overeating. Meditation can also help manage the stress that often leads to emotional eating.

Being part of a weight loss support group can be incredibly beneficial. Sharing experiences, challenges, and successes can foster motivation and accountability. Social support can significantly improve adherence to weight loss strategies.

How do you see the future of medicated weight loss evolving with advances in science and medicine?

Recent studies continually unveil the intricate layers surrounding obesity, a more complex condition than previously understood. Pioneering research has highlighted the crucial role of hunger hormones in influencing our weight. Hopefully in the future we will be able to safely modify these hormone levels to manage our weight beneficially. Moreover, contemporary studies indicate that certain processed foods may adversely affect the hypothalamic set point, a brain area critical for weight regulation. Transitioning to a diet rich in whole foods while reducing processed items could be pivotal.

The age-old weight management adage, “calories in versus calories out,” now seems obsolete. The reality is that many individuals, despite their sincerest efforts, struggle to maintain weight loss. It’s not a lapse on their part; the body instinctively resists significant weight drops. When a person achieves weight loss through a healthy diet and regular exercise, the body might reduce its metabolic rate in its attempt to regain that weight. This metabolic adjustment can frustrate many, especially those committed to wholesome diets and consistent workouts. They grapple with the puzzling challenge of why weight loss remains elusive.

The future promises a deeper comprehension of the sophisticated pathways involved in weight management. This clarity might simplify our journey towards sustainable weight loss. If individuals can naturally achieve and maintain their desired weight, their dependence on weight loss medications might diminish. Yet, given the rapid technological advances, it’s also conceivable that breakthrough weight loss drugs requiring infrequent dosing or a single long-lasting dose might emerge on the pharmaceutical horizon.

What is the best way for our readers to continue to follow your work online?

I have a blog at PatientWorld.net, a platform for on-demand health and wellness courses taught by various experts. People can sign up for health hacks at PatientWorld.net/healthhacks. My LinkedIn URL is https://www.linkedin.com/in/patientempowerment101, and I also have a LinkedIn group called Patient World. Finally, I can be reached via a contact form at PatientEmpowerment101.com.

This was very inspiring. Thank you so much for the time you spent on this. We wish you only continued success.

About The Interviewer: Maria Angelova, MBA is a disruptor, author, motivational speaker, body-mind expert, Pilates teacher, and founder and CEO of Rebellious Intl. As a disruptor, Maria is on a mission to change the face of the wellness industry by shifting the self-care mindset for consumers and providers alike. As a mind-body coach, Maria’s superpower is alignment which helps clients create a strong body and a calm mind so they can live a life of freedom, happiness, and fulfillment. Prior to founding Rebellious Intl, Maria was a Finance Director and a professional with 17+ years of progressive corporate experience in the Telecommunications, Finance, and Insurance industries. Born in Bulgaria, Maria moved to the United States in 1992. She graduated summa cum laude from both Georgia State University (MBA, Finance) and the University of Georgia (BBA, Finance). Maria’s favorite job is being a mom. Maria enjoys learning, coaching, creating authentic connections, working out, Latin dancing, traveling, and spending time with her tribe. To contact Maria, email her at angelova@rebellious-intl.com. To schedule a free consultation, click here.