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Episode 198: The Link Between Cancer and Obesity

Back on Track: Achieving Healthy Weight Loss

Release Date: 04/28/2025

Episode 209: Beyond Willpower: The Truth About Weight Loss Medications show art Episode 209: Beyond Willpower: The Truth About Weight Loss Medications

Back on Track: Achieving Healthy Weight Loss

More people than ever are turning to medicine for weight loss, but how do you know if it's right for you? In this episode, I dive into the hot topic of weight loss medications and tackle the myths, science, and facts behind them. As a board-certified obesity medicine specialist, I explain who qualifies for medications like Wegovy, Zepbound, and others, how they work, and why obesity is a chronic condition, not a personal failure. I will walk you through the medical, hormonal, and genetic factors that influence treatment, outline FDA guidelines, and share how I assess whether a patient is a...

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Episode 208: Is Cane Sugar Better? Unpacking the Health Impact of High Fructose Corn Syrup show art Episode 208: Is Cane Sugar Better? Unpacking the Health Impact of High Fructose Corn Syrup

Back on Track: Achieving Healthy Weight Loss

Did you know that high fructose corn syrup, a sweetener found in everything from soda to salad dressing, has been linked to obesity, diabetes, and inflammation? In this episode, I explore a surprising claim by Donald Trump that Coca Cola may switch from high fructose corn syrup to cane sugar—and use this as a springboard to explore the health concerns around high fructose corn syrup. I break down what it is, why it's used so widely in processed foods, and the many health risks it poses, from obesity and diabetes to inflammation and high blood pressure. I even share a patient story that...

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Episode 207: What Happens When You Stop Ozempic? The Truth About GLP-1 Meds & Weight Regain show art Episode 207: What Happens When You Stop Ozempic? The Truth About GLP-1 Meds & Weight Regain

Back on Track: Achieving Healthy Weight Loss

Did you know that stopping GLP-1 medications like Ozempic or Wegovy can trigger powerful biological and emotional changes that impact your weight journey? In this episode, I talk about what happens when you stop taking a GLP-1 medication, like Ozempic, Wegovy, or Zepbound. I explain how these medications work by slowing stomach emptying, reducing appetite, and helping with insulin regulation, which supports weight loss and benefits conditions like type 2 diabetes and PCOS. However, I also share that they’re not magic pills, you still need healthy habits like eating well and exercising. I...

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Episode 206: Why the Scale Isn’t Moving: 5 Hidden Weight Loss Blockers You Need to Know show art Episode 206: Why the Scale Isn’t Moving: 5 Hidden Weight Loss Blockers You Need to Know

Back on Track: Achieving Healthy Weight Loss

Sometimes it’s not about eating less or moving more—it’s about understanding what’s really holding your body back. In this episode, I dive into five surprising reasons why you might not be losing weight—even when it feels like you're doing everything right. From the sneaky effects of stress and poor sleep, to the hidden dangers of under-eating, emotional eating, and overestimating your workouts, I break down what could be quietly sabotaging your progress. This isn’t about blame—it’s about awareness, compassion, and smart strategies to truly support your journey.  Listen...

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Episode 205: Simple Strategies to Stay Consistent with Healthy Habits When Motivation Fades show art Episode 205: Simple Strategies to Stay Consistent with Healthy Habits When Motivation Fades

Back on Track: Achieving Healthy Weight Loss

Motivation may spark change, but it's small, consistent actions that keep the fire burning, especially when you're just not feeling it. In this episode, I talk about what to do when you're feeling completely unmotivated to stick with healthy habits. I dive into the truth that motivation is fleeting and often unreliable, and instead, I share practical strategies to keep moving forward even when you don’t feel like it. I also explore common reasons we lose motivation like overwhelm, burnout, boredom, and perfectionism and offer five actionable tips: shrink the task, pair it with something...

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Episode 204: The Truth About Sweet Drinks: 8 Myths That Could Be Ruining Your Weight Loss Goals show art Episode 204: The Truth About Sweet Drinks: 8 Myths That Could Be Ruining Your Weight Loss Goals

Back on Track: Achieving Healthy Weight Loss

Did you know that one 20-ounce soda can pack more sugar than five donuts—and still leave you hungry? In this episode, I unpacked the deceptively sweet world of sugar-sweetened beverages from sodas and sweet teas to fruit juices and even those “healthy” smoothies. I busted eight common myths that might be sabotaging your wellness journey without you even realizing it. We talked about how liquid calories sneak past your hunger cues, spike blood sugar, fuel cravings, and trigger fat storage. I broke down why fruit juice isn't the same as whole fruit, why diet sodas and energy drinks...

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Episode 203: From Shots to Swallow: The Future of Weight Loss with Oral Semaglutide show art Episode 203: From Shots to Swallow: The Future of Weight Loss with Oral Semaglutide

Back on Track: Achieving Healthy Weight Loss

Did you know a daily weight loss pill might soon replace weekly injections for managing obesity? In this episode, I explore the exciting new development of a once-daily oral weight loss medication, oral semaglutide 50mg highlighting results from the OASIS 1 trial. With this, I explain how this pill could be a game-changer for people who are hesitant about injections like Wegovy or Zepbound. I break down how semaglutide works as a GLP-1 receptor agonist, the phases of drug development, and the impressive trial results showing an average 15% body weight loss in participants without diabetes. I...

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Episode 202: Discover Your Obesity Phenotype and What Really Works for You show art Episode 202: Discover Your Obesity Phenotype and What Really Works for You

Back on Track: Achieving Healthy Weight Loss

Did you know that your body has its own unique weight loss blueprint and it might be the key to finally seeing results? In this episode, I explore the concept of obesity phenotypes and why one-size-fits-all approaches to weight loss often fail. I dive into the four main types I see in my practice: Hungry Brain, Emotional Hunger, Hungry Gut, and Slow Burn, and how understanding which one you align with can dramatically improve your treatment strategy. I also reflect on my own experiences, and those of my patients, emphasizing that it's not about willpower but biology and behavior. By...

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Episode 201: Zepbound or Wegovy? The Shocking Results You Need to Know! show art Episode 201: Zepbound or Wegovy? The Shocking Results You Need to Know!

Back on Track: Achieving Healthy Weight Loss

Did you know that some weight loss medications can help people lose up to 20% of their body weight, comparable to bariatric surgery outcomes? In this episode, I dive into the latest research comparing two major weight loss medications, Wegovy (semaglutide) and Zepbound (tirzepatide), based on findings from the 72-week SURMOUNT-5 trial. I explain how Zepbound led to greater weight loss (about 20.2% vs. 13.7% with Wegovy), possibly due to its dual action on GIP and GLP-1 receptors. Both drugs were generally well tolerated, with similar side effects like nausea and constipation, though Wegovy had...

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Episode 200: Your Top Weight Loss Questions Answered – Medications, Mindset & Milestones show art Episode 200: Your Top Weight Loss Questions Answered – Medications, Mindset & Milestones

Back on Track: Achieving Healthy Weight Loss

Episode 200 is a celebration of your journey and questions, as I dive deep into the realities of weight loss, medications, and staying consistent through it all. In this episode, I celebrate a huge milestone—our 200th episode of the Back on Track: Achieving Healthy Weight Loss podcast! I take this opportunity to answer your most frequently asked questions from TikTok, YouTube, Instagram, and podcast listeners, covering a wide range of topics like weight loss medications (such as Qsymia and Contrave), combining medications, insurance, PCOS, managing side effects, and more. I also dive into...

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More Episodes

Have 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:

  • How obesity leads to chronic inflammation and raises hormone levels linked to cancer

  • The connection between obesity and at least 13 types of cancer

  • The importance of early cancer screenings and knowing your family medical history

  • How weight stigma and bias affect access to healthcare and screenings

  • The physical barriers larger patients face in medical settings

  • How weight loss can lower cancer risk and improve overall health

  • The role of medications like metformin, orlistat, and GLP-1 receptor agonists in reducing cancer risk

  • Encouragement to seek compassionate, weight-inclusive healthcare

  • Practical steps for patients to advocate for respectful and appropriate care



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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