About
You run (or bike or swim or hike…), you lift, you've got the training logs to prove nothing has changed. You eat the same as you always have. And you’ve still gained 10 pounds…or more. Obesity medicine physician Dr. Michelle Gordon is here this week to explain why. She covers the metabolic slowdown of perimenopause, the drop in fat burning, why the new fat lands around your middle, and why "calories in, calories out" doesn't cover it. She also talks about her own experience with tirzepatide as a lifelong athlete: losing 30-plus pounds, running out of motivation to run, and figuring out what exercise means to her now.
Michelle E. Gordon, DO, DABOM, DACLM, FACS, FACOS, is board certified in obesity medicine, lifestyle medicine, and general surgery, and is a fellow of both the American College of Surgeons and the American College of Osteopathic Surgeons. She spent 15 years as a surgeon before switching to women's metabolic health, because she kept seeing the downstream complications of disease that had started years earlier. Today she runs a telehealth practice to help high performing midlife women feel like themselves again. Her approach is rooted in physiology and incremental behavior change. She treats obesity as a chronic, relapsing disease that calls for long-term care from a physician. You can learn more about her at drgordon.me and on her Substack.
Resources
Trajectory of weight regain after cessation of GLP-1 receptor agonists: a systematic review and nonlinear meta-regression here
Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity: The SURMOUNT-4 Randomized Clinical Trial here
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