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Subscribe: https://www.youtube.com/@Oprah In this episode of The Oprah Podcast, Oprah continues her conversation with Dr. Ania Jastreboff, an endocrinologist and associate professor at the Yale School of Medicine, about the anti-obesity GLP-1 medications that are changing the world of weight loss. Oprah and Dr. Ania talk about what happens to a person’s mental health, body image and how the world treats them after losing a significant amount of weight. Joined by clinical psychologist Dr. Rachel Goldman, assistant professor at NYU Grossman School of Medicine, Oprah and Dr. Ania speak to people using the GLP-1 medications like long-time Harpo producer, Brian Piotrowicz, who reveals how people treat him differently now that he’s lost a significant amount of weight in a short period of time. Several other guests from across the country also share how their lives have changed after GLP-1 weight loss including a woman who lost over 160 pounds. Finally, we will get an update from several guests that appeared on the ABC Oprah Special: Shame, Blame and the Weight Loss Revolution including high school student Maggie who lost over 100 pounds. 00:00:00 - Welcome Dr. Ania Jastreboff and Oprah’s Producer Brian 00:01:32 - How Oprah inspired Brian to try weight loss medication 00:03:48 - How weight loss medication changed Brian’s life 01:04:30 - How Brian’s relationship to food changed 00:07:44 - How Brian is treated after losing 70 lbs 00:09:40 - Half of U.S. adults want to take weight loss medications 00:11:14 - Benefits of weight loss medications 00:13:42 - How treating obesity can treat hundreds of other diseases 00:14:34 - Welcome Michaela who lost 165 pounds 00:18:06 - How Michaela’s life has changed after weight loss 00:19:33 - Dr. Rachel Goldman on emotional challenges of weight loss 00:27:16 - Welcome Anna who lost 80 pounds 00:29:18 - How obesity affects mental health 00:33:51 - Welcome Jewell who lost 107 pounds and her mom Marissa 00:36:42 - Why do some people lose weight faster than others? 00:41:20 - How do you find a good weight loss provider? 00:42:42 - Welcome Maggie who lost 155 pounds and her mom Erika 00:49:27 - Reducing shame around what you weigh For more information on Dr. Rachel Goldman - https://www.drrachelnyc.com/ Follow Dr. Rachel on Instagram - https://www.instagram.com/drrachelnyc/ Follow Michaela on TikTok - https://www.tiktok.com/@michlivinlife Follow Michaela on Instagram - https://www.instagram.com/michlivinlife Follow Anna on Instagram - https://www.instagram.com/annaaliceparker/ Follow Jewell on TikTok - https://www.tiktok.com/@jewell_samone Follow Jewell on Instagram - https://www.instagram.com/jewell_samone/ Follow Jewell on YouTube - https://www.youtube.com/@jewell_samone Follow Marissa on Instagram - https://www.instagram.com/marissaqshifts Follow Marissa on TikTok - https://www.tiktok.com/@marissaqshifts Follow Oprah’s Producer Brian on Instagram - https://www.instagram.com/bpiotrowicz/ Watch Part 1 Here: https://www.youtube.com/watch?v=_GEe8EUTfRk SUPPORT THE SHOW Subscribe: https://www.youtube.com/@Oprah #oprahsbookclub Follow Oprah Winfrey on Social: https://www.instagram.com/oprah/ https://www.facebook.com/oprahwinfrey/ https://www.tiktok.com/@oprah?lang=en Listen to the full podcast: https://open.spotify.com/show/0tEVrfNp92a7lbjDe6GMLI https://podcasts.apple.com/us/podcast/the-oprah-podcast/id1782960381

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A 61-year-old man with diabetes, heart failure (EF 25–30%), obesity, and CKD—how do you decide the next step in therapy? In this powerful episode of Case by Case, three expert clinicians dissect a post-hospitalization case involving a patient with multiple overlapping chronic conditions: Type 2 diabetes, HFrEF, obesity, and impaired renal function. The team weighs the benefits and limitations of SGLT2 inhibitors vs. GLP-1 receptor agonists—and the nuances of when to use both. 🎙️ Topics covered include: • Dapagliflozin in heart failure with reduced EF • Semaglutide and emerging data from the FLOW trial • GLP-1 risks in HFrEF: What the evidence (and gaps) suggest • Clinical nuance: when A1C is good but the patient still needs help • How to argue your case with payers using evidence-based trials 🎓 Meet the Experts: • Dr. Marie E. McDonnell (Harvard / Brigham), Endocrinologist and outcomes researcher focused on complex diabetes care. • Dr. Jan N. Basile (MUSC), Clinical hypertension and primary care expert with decades of CME leadership. • Dr. Nihar R. Desai (Yale), Cardiologist and health systems leader pioneering value-driven care. 💬 “It’s not about A1C—it’s about total disease control: renal preservation, CV death, and survival.” 🔗 Register to claim CME for this panel discussion plus more: https://www.cmemeeting.org/online-cme-courses/10th-diabetes-spring-conference 👍 Like, comment, and subscribe for more expert-level clinical cases each episode.