Episode 198: The Link Between Cancer and Obesity
Back on Track: Achieving Healthy Weight Loss
Release Date: 04/28/2025
Back on Track: Achieving Healthy Weight Loss
If you've ever been told to "just eat less and move more," or struggled with weight despite doing everything "right," this episode will validate your experience and challenge the harmful myths that still exist—even in medicine. In this deeply personal episode, I will share what happened when a colleague dismissed obesity as "lifestyle driven" rather than a chronic disease. Her response is a powerful reminder that this condition is far more complex than willpower. I will also open up about my own decades-long journey—including training for two full Ironmans and seven marathons—and why...
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In this powerful episode, I will break down one of the biggest developments in obesity and diabetes treatment in U.S. history. Two major pharmaceutical companies - Eli Lilly and Novo Nordisk - have reached a groundbreaking agreement with the administration that will drastically reduce the prices of popular medications like Wegovy, Ozempic, and Zepbound. This pricing model could transform how obesity medications are covered, distributed, and accessed across Medicare, Medicaid, and direct-to-consumer platforms. Tune in to learn what this new deal means for patients, healthcare providers, and...
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Seen TikTok videos about taking "just a little bit" of Ozempic or counting pen clicks instead of using the prescribed dose? That's microdosing, and it's showing up everywhere—from social media to patient discussions. In this episode, I will cut through the hype to explain what microdosing GLP-1 medications really means, why people are trying it (spoiler: cost and side effects), and what the research actually says. I will discuss the concept of "super responders" who seem to do well on lower doses, the lack of scientific backing for DIY microdosing, and the real risks of using compounded or...
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Ever wonder why you still feel hungry after drinking a sugary soda? It turns out fructose doesn't trigger the same fullness signals in your brain that other sugars do. In this episode, I break down the science of fructose and how it affects your body differently than the natural sugars found in whole fruits. We explore how excess fructose from sodas, processed foods, and fruit juices can lead to fat buildup in your liver, raise your triglyceride levels, and increase your risk for metabolic dysfunction associated with liver disease. I also discuss how fructose impacts your heart health by...
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Can body positivity and weight loss medications like Ozempic and WeGovy coexist. Or are they destined to clash? This question has sparked debates across social media and medical offices everywhere. In this episode, I will explore the history of the body positivity movement from its 1960’s roots with the National Association to Advance Fat Acceptance to its social media explosion in the 2010’s. I will discuss how the movement challenged diet culture and promoted self-love regardless of size. Then, I will also talk about today’s weight loss medication revolution and the tension it creates....
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A new study shows weight loss drugs like Wegovy and Zepbound don’t just help with losing weight they may also protect the heart and save lives. In this episode, we look at a new study that followed over 90,000 people with obesity, type 2 diabetes, and heart failure. The results show that drugs like Wegovy and Zepbound don’t just help with weight loss, they can cut the risk of death or hospitalization for heart failure nearly in half. We’ll talk about why that matters, how these medications actually work in the body, and what you should know about side effects and access. Most...
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Have you heard about people buying weight loss medications from unregulated sources online? The rise of black market weight loss drugs is putting lives at risk. In this episode, I discuss the concerning trend of people purchasing Retatrutide—a medication still in clinical trials—through illegal channels. Known as the "Godzilla Jab" for its potential power, early studies suggest this drug could help people lose up to 24% of their body weight. I explain what Retatrutide is and how it compares to FDA-approved medications like Ozempic, Wegovy, Zepbound, and Mounjaro. We explore why people take...
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Are you wearing your ability to "push through" like a badge of honor, even when your body and mind are telling you to stop? In this episode, Dr. Judy Wright, a board-certified physician and burnout prevention expert, explores why constantly pushing through obstacles can actually sabotage your progress. She discusses the difference between true grit and "masking grit," and how the latter can lead to chronic fatigue, brain fog, and derailed weight loss goals. Dr. Judy shares practical strategies including the power of three non-negotiables, the importance of self-compassion, and why sometimes...
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Your liver could be silently struggling right now and the good news is, you can turn it around. In this episode, I dive deep into the topic of metabolic dysfunction-associated steatotic liver disease, also known as fatty liver disease. I explain what it is, why the medical community updated the name, and why it matters for long-term health. I highlight who is most at risk, including people with obesity, diabetes, high blood pressure, or high cholesterol and why the condition is often called a “silent disease” since many don’t realize they have it. I also break down the potential dangers...
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Did you know that nearly one in three people with obesity may have fatty liver disease without even knowing it? In this episode, I talk about groundbreaking news in obesity and liver health, focusing on the FDA’s recent approval of WeGovy to treat metabolic dysfunction associated steatohepatitis (MASH) with moderate to advanced fibrosis. I share a personal story about a friend who once struggled with fatigue, abnormal liver tests, and fatty liver disease, highlighting how limited treatment options used to be. I explain what MASH is, why it’s so serious, and how common it is, especially...
info_outlineHave you ever wondered how obesity can raise the risk for certain cancers? Today’s episode breaks down the real connection in a simple, honest way — and why it matters for your health and future.
In this episode, I talk about how excess body weight can lead to chronic inflammation, raise hormone levels like estrogen and insulin, and create an environment where cancer cells can grow more easily. I explain how obesity is linked to at least 13 types of cancers, including breast, colon, and liver cancers. We also discuss the critical role of preventive screenings like mammograms and colonoscopies, especially for those with a higher risk. I share why knowing your family history is important and why many people with obesity miss out on necessary tests because of weight stigma and bias in healthcare. We cover real-life challenges, like how medical equipment isn’t always designed for larger bodies, and how that creates serious barriers. I also dive into hopeful news about how weight loss, medications like metformin, orlistat, and GLP-1 receptor agonists can help lower cancer risks. Throughout the conversation, I emphasize that compassionate, respectful care is a right, not a privilege.
Listen to the full episode to learn how to advocate for yourself, find the right doctors, and take powerful steps toward protecting your health. You are worthy of good care at every stage of your journey.
Episode Highlights:
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How obesity leads to chronic inflammation and raises hormone levels linked to cancer
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The connection between obesity and at least 13 types of cancer
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The importance of early cancer screenings and knowing your family medical history
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How weight stigma and bias affect access to healthcare and screenings
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The physical barriers larger patients face in medical settings
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How weight loss can lower cancer risk and improve overall health
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The role of medications like metformin, orlistat, and GLP-1 receptor agonists in reducing cancer risk
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Encouragement to seek compassionate, weight-inclusive healthcare
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Practical steps for patients to advocate for respectful and appropriate care
Connect with Dr. Alicia Shelly:
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Website | drshellymd.com
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Facebook | www.facebook.com/drshellymd
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Instagram | @drshellymd
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Linked In | www.linkedin.com/in/drshellymd
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Twitter | @drshellymd
About Dr. Alicia Shelly
Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, “Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''.
Resources:
FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!) 👉 Click