Back on Track: Achieving Healthy Weight Loss

Back on Track: Achieving Healthy Weight Loss is a podcast that focuses on helping people get back on track and stay on track with their weight loss journey. This podcast focuses on improving your Mindset, Motivation and Momentum in your weight loss journey.

Episode 249: Do I Have to Stay on My Medication Forever? What the ATTAIN Maintain Trial Reveals 07/20/2026

Episode 249: Do I Have to Stay on My Medication Forever? What the ATTAIN Maintain Trial Reveals "Doc, do I need to take this forever?" It's one of the most common questions I hear in my office, whether it's someone's very first visit or someone who's already lost 30, 40, even 80 pounds and is feeling great. In this episode, I break down why your body fights so hard to regain weight after you lose it, and why that's biology, not failure. I walk through the new ATTAIN Maintain trial, a study of 376 adults who had already lost significant weight on tirzepatide or semaglutide, testing whether switching to an easier once-daily oral GLP-1 could help them keep the weight off, instead of just asking whether stopping medication causes regain. Maintenance isn't about staying on one medication forever. It's about having an individualized, active plan, and the ATTAIN Maintain data gives us more options than ever to build one. Episode Highlights: Why your metabolism and hunger hormones fight to reverse weight loss Lessons from the SURMOUNT-4 trial on what happens when treatment stops completely Inside the ATTAIN Maintain trial design and who was studied The weight maintenance results: oral medication vs. placebo Why maintenance therapy doesn't have to look like the treatment that got you there What actually goes into a sustainable long-term plan beyond medication Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/42148125

Episode 248: Am I Going to Go Blind on a GLP-1? Understanding the NAION Headlines 07/13/2026

Episode 248: Am I Going to Go Blind on a GLP-1? Understanding the NAION Headlines If you've seen headlines linking Ozempic and other GLP-1 medications to sudden eye strokes, I want to stop the panic right here. In this episode, I break down what the research on NAION actually shows, who's really at risk, and why the scary relative-risk numbers you're seeing online don't tell the whole story. I walk you through what NAION is, why patients on semaglutide often already carry the underlying risk factors that get left out of the clickbait, and what the difference is between an observational study raising a signal and a randomized trial proving cause and effect. I also share the warning signs that mean you should go to the ER immediately, not wait for your next appointment. You'll walk away knowing exactly how to think about this headline, what questions to bring to your own doctor, and why staying on your medication is usually the right call. Episode Highlights: What NAION is and how it affects the optic nerve The risk factors patients on GLP-1s often already have What the 37-million-person study actually found — and didn't Why randomized trials tell a different story than observational data Absolute risk vs. relative risk, explained simply Warning signs that mean go to the ER now Why sleep apnea complicates the whole picture Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/42067330

Episode 247: The Menopause Metabolism Shift: How Foundayo Changes the Game 06/29/2026

Episode 247: The Menopause Metabolism Shift: How Foundayo Changes the Game I hear this from so many of my patients: "Dr. Shelly, I haven't changed anything—not my diet, not my exercise—but I'm gaining weight and my body just doesn't respond the way it used to." If you're a woman in your 40s or 50s, you're probably nodding right now. In this episode, I'm walking you through exactly why menopause causes weight gain, why it has nothing to do with willpower, and what breakthrough new research reveals about Foundayo—an oral GLP-1 medication—and how it helps restore the biological signals that become harder to access during this life stage. I'm sharing real data from the 2026 American Diabetes Association Scientific Conference, including results from the ATTAIN 1 and ATTAIN 2 clinical trials that show meaningful weight loss across all menopausal stages. But here's what matters most: the goal during menopause isn't just weight loss—it's aging healthy. You'll learn exactly what that looks like and what you need to focus on right now. Episode Highlights: What menopause actually is ( How estrogen decline drives abdominal fat storage and insulin resistance Why muscle loss and poor sleep compound weight gain How GLP-1 medications work—and what they don't do The ATTAIN trials: weight loss results before, during, and after menopause Strength training, protein intake, and the non-negotiables for sustainable results REFERENCES: Menopausal Stage and Weight Outcomes with Orforglipron vs. Placebo: Post Hoc Subgroup Analysis from ATTAIN-1 and ATTAIN-2. Presented at the 86th Scientific Sessions of the American Diabetes Association, June 2026. Horn DB, et al. Orforglipron, an oral small-molecule GLP-1 receptor agonist, for obesity treatment in adults with type 2 diabetes. Lancet. 2026. . ATTAIN-2 Trial (NCT05872620). The Menopause Society. Menopause practice recommendations and patient resources on metabolic changes during menopause. Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41859080

Episode 246: Do GLP-1 Medications Affect Your Bones? 06/22/2026

Episode 246: Do GLP-1 Medications Affect Your Bones? A patient asked me this recently: "Dr. Shelley, I've heard that GLP-1 medications can cause muscle loss. Does that mean they can hurt my bones too?" It's an excellent question—and one we don't talk about nearly enough. In this episode, I'm walking you through what the research actually shows about GLP-1 medications and bone health, why weight loss itself poses a different risk to your skeleton, and the five non-negotiable steps you need to take to protect your bones while losing weight. This is the bone health conversation you need to hear before—or while—taking a GLP-1. Episode Highlights: What GLP-1 medications are and how they work in your body Does GLP-1 directly damage bones? What the research says The real issue: weight loss and how it affects bone health How your bones stay strong and why muscle matters Muscle loss during weight loss on GLP-1s (body composition breakdown) Who's at higher risk for weak bones and should be monitoring Eat enough protein: how much you actually need Strength training and resistance exercises for bone protection Getting enough calcium and vitamin D The DEXA bone density scan and when you should ask for one Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41719775

Episode 245: Retatrutide Delivers Bariatric-Level Weight Loss: Breaking Down the TRIUMPH-1 Trial from ADA 2026 06/15/2026

Episode 245: Retatrutide Delivers Bariatric-Level Weight Loss: Breaking Down the TRIUMPH-1 Trial from ADA 2026 Can retatrutide finally be the breakthrough obesity treatment we've been waiting for? The answer is yes—and the data is stunning. In this episode I'm walking you through the biggest obesity medicine discovery from the ADA's 86th Scientific Session: retatrutide, a triple hormone receptor agonist showing weight loss results that rival bariatric surgery. You'll learn what makes retatrutide different from Wegovy and Zepbound, the stunning results from the Triumph 1 trial, what the side effects actually look like, and when this medication will finally be available. Weight loss medications are evolving faster than ever. But what you really need to know is what these results mean for your health. Listen now! Episode Highlights: Retatrutide is a triple hormone agonist that targets GLP-1, GIP, and glucagon receptors Participants lost an average of 28.3% of their body weight in 80 weeks Two-thirds of participants achieved a normal BMI—moved from obese to healthy weight Nearly everyone with prediabetes reversed it and returned to normal blood sugar Over 70% reduction in knee osteoarthritis pain and 60% reduction in sleep apnea severity The highest discontinuation rate due to side effects was only 11%—mainly GI issues Retatrutide is not yet FDA approved but anticipated to launch early 2027 Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41643215

Episode 244: How to Restart a GLP-1s 06/08/2026

Episode 244: How to Restart a GLP-1s Can I restart my GLP-1? The answer is yes — but it requires a strategic plan. In this episode I'm walking you through exactly what happens to your body when you restart a GLP-1, why the timing of your break matters more than you think, how to restart safely without landing yourself in misery, the biggest mistakes I see patients make, and how to get back on track without shame or guilt. Restarting doesn't have to mean starting completely over. But how you restart matters. Listen now! Episode Highlights: Why restarting at your previous dose will make you seriously sick What happens to your hunger, cravings, and fullness signals when you restart How long you've been off determines your restart dose The critical question that changes everything: weeks vs. months off Why weight regain after stopping is biology, not failure 3 practical strategies to minimize side effects and rebuild tolerance How to stay mentally on track without shame or comparison Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41569890

Episode 243: Why people stop taking GLP-1s 06/01/2026

Episode 243: Why people stop taking GLP-1s You stopped your GLP-1 and now you're wondering can I just restart where I left off? Why am I so hungry again? Why are the side effects back? Did the medication stop working? These are questions I hear all the time in my practice. And the answer is not as simple as picking back up where you stopped. In this episode I am walking you through exactly what happens biologically when you stop a GLP-1, why restarting feels different than when you first started, how to restart safely, the common mistakes I see patients make, and how to get back on track mentally without shame. A pause does not erase your progress. But how you restart matters more than you think. Listen now! Episode Highlights: Why stopping your medication is not failure and why your biology is not your weakness What actually happens to your hunger, cravings, and fullness signals when you go off GLP-1s Why restarting at your old dose can land you in the emergency room How long is too long to be off and what dose to restart at based on your break The 3 most common restart mistakes Practical tips to minimize side effects and rebuild tolerance the right way How to stay mentally on track without shame or comparison to your first journey Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41489300

Episode 242: Self-Pay, Savings Programs, and Smarter Strategies for GLP-1 Medications 05/25/2026

Episode 242: Self-Pay, Savings Programs, and Smarter Strategies for GLP-1 Medications A patient finally decides to prioritize their health. They wait weeks for an appointment. We talk, we plan, and they leave with hope. Then the pharmacy calls with a price tag over $1,000 a month and that hope disappears. If that's happened to you, I made this episode for you. Because what most patients don't know is that there are real, legitimate ways to make this work and I'm breaking all of them down today. An insurance denial is not a verdict on your health or your worth. It just means we need to get strategic. Listen now! Episode Highlights: Why I never let my patients stop at the first insurance "no" The Zepbound Lilly Direct self-pay program and what it actually costs The Wegovy NovoCare self-pay option and its introductory pricing Oral GLP-1 medications — who they're right for and why they may surprise you Manufacturer coupons, GoodRx, and savings tools most patients walk past How to appeal a denial and exactly what documentation can move the needle Why thinking long-term changes everything about affordability Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41411240

Episode 241: Which Weight Loss Medication Is Right for You? 05/18/2026

Episode 241: Which Weight Loss Medication Is Right for You? People keep asking the same question: what’s actually the difference between all these weight loss medications? Ozempic. Wegovy. Mounjaro. Zepbound. Foundayo. Wegovy pill. Some of these medications are injections, some are pills, some are FDA-approved for diabetes, others for weight loss, and some are actually the same medication with completely different brand names. So I'm breaking it all down for you today — in plain language — because the confusion alone is keeping people from getting the treatment they need. The real problem isn't just the brand names. It's that without knowing exactly how these medications differ, patients end up on the wrong one, pay out of pocket unnecessarily, or give up when insurance denies them. You deserve better than that. Once you understand what each one actually does, the whole picture becomes much clearer. Listen now! Episode Highlights: Why Ozempic and Wegovy are the same medication and why the difference still matters How tirzepatide (Mounjaro/Zepbound) works on two hormone pathways and why it tends to produce greater weight loss The new oral options — Foundayo and Wegovy pill — and who they're actually right for Real average weight loss numbers from clinical trials, by medication How insurance covers (or denies) each one and what I tell my patients when it does Who may be a candidate for these medications Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41328645

Episode 240: What is the new Medicare GLP-1 Bridge Demonstration Program? 05/11/2026

Episode 240: What is the new Medicare GLP-1 Bridge Demonstration Program? Medicare has spent years telling obesity patients: your medication isn't covered. Starting July 1, 2026, that may finally start to change. In this episode, I will break down the new Medicare GLP-1 Bridge Demonstration Program — what it is, who qualifies, and which medications may be covered. This is not just a policy update. For thousands of patients who have paid hundreds of dollars out of pocket or given up on treatment altogether, this pilot program represents a real opening. The biggest barrier to obesity treatment has never been willpower. It's been access. This episode is your first look at what's coming and whether it applies to you. Episode Highlights: What the Medicare GLP-1 Bridge Program is Which medications may be covered The three eligibility groups by BMI and medical condition Why this program matters beyond medication What the Treat and Reduce Obesity Act (TROA) is and why it still needs to pass Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41245470

Episode 239: Why did my GLP-1 get denied? 05/04/2026

Episode 239: Why did my GLP-1 get denied? Your weight loss medication was denied. That moment of hope is gone. But this is not a ‘you’ problem. It's a system problem. In this episode, I break down why insurance denials for weight loss medications happen so frequently, and more importantly, what you can actually do about it. From formulary exclusions to step therapy requirements to the documentation timing that can reset your entire approval clock the barriers are real, but they are navigable. A denial does not mean you failed. It means you hit a wall in a system built with gaps. Understanding how that system works is the first step to getting through it. Listen to this episode to stop feeling defeated and start building your case. Episode Highlights: Why insurers deny weight loss medications even when you clearly qualify What "step therapy" is and why it forces patients to go backwards The documentation timing mistake that can reset your approval from scratch How to appeal a denial and why an appeal is advocating, not begging Self-pay options now available when insurance won't budge Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41138250

Episode 238: CagriSema: The Next Generation of Obesity Treatment 04/27/2026

Episode 238: CagriSema: The Next Generation of Obesity Treatment Weight loss plateaus on GLP-1 therapies such as Wegovy and Zepbound are increasingly understood as a function of biological adaptation rather than patient noncompliance. In this episode I will be discussing CagriSema, an investigational combination therapy expected to launch between late 2026 and early 2027. The treatment combines semaglutide and cagrilintide, targeting complementary mechanisms that regulate appetite and satiety. Clinical trial data indicate weight reduction of up to 22.7%, suggesting improved efficacy relative to existing monotherapies. The development reflects a broader shift toward combination-based treatment models, consistent with approaches used in managing chronic conditions such as diabetes and hypertension. Listen to the episode for a closer look at what this could mean for treatment pathways and patient outcomes. Episode Highlights: Why plateaus happen and what your body is actually doing What CagriSema is and how its two-ingredient formula works What the REDEFINE trials show including how it stacks up against Tirzepatide Who this medication is most likely to help Why the best plan is still the one that's working for you right now Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/41026105

Episode 237: Foundayo Weight Loss Pill Explained: New GLP-1 Alternative to Wegovy 04/20/2026

Episode 237: Foundayo Weight Loss Pill Explained: New GLP-1 Alternative to Wegovy If you’re looking for weight loss options but don’t want injections, things just changed in a big way. In this episode, I break down a new class of weight loss pills, including Foundayo (orforglipron), the newest GLP-1 option that was just approved. Unlike older treatments, this pill is designed to be simple. No fasting. No strict timing. You can take it with food or even coffee. We also look at how it compares to the oral Wegovy pill and what that means for people who want real results without shots. There are now two real pill options in the weight loss space, and choosing the right one is not about hype. It’s about your lifestyle, your body, and what you can actually stick with long term. We’re entering a new era of weight loss treatment. And for the first time, you have choices that don’t involve needles. Listen now to understand what’s new and what actually matters before talking to your doctor. Episode Highlights: How Foundayo works in the body How it compares to oral Wegovy What makes GLP-1 pills different from older weight loss meds Who these options may or may not be right for Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40931090

Episode 236: Wegovy HD medication 04/13/2026

Episode 236: Wegovy HD medication If Wegovy has helped you — but not enough — the answer may not be more willpower. It may be a higher dose. The FDA just approved a new 7.2mg version of Wegovy, and the clinical data is turning heads. In this episode, I break down everything you need to know about this new higher dose — what the research shows, who it's designed for, and what it actually means for your weight loss journey. Weight loss medicine just crossed a new threshold. This isn't just a bigger dose, it's a meaningful new option for people who need more help reaching goals that can transform their health. Listen now! Episode Highlights: Why 1 in 3 people on the standard Wegovy dose don't lose even 5% of their body weight and what the new dose does differently The Step Up Trial: what a 1,400-person, 72-week clinical study published in 2025 found about the 7.2mg dose How nearly half of participants lost 20% or more of their body weight numbers we typically only see with bariatric surgery The side effects you need to know about, including the new one that showed up in 23% of patients Who this higher dose is best suited for and who should wait How the dosing process works and what to do if side effects become uncomfortable Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40821875

Episode 235: How Does PCOS Make Me Gain Weight? 04/06/2026

Episode 235: How Does PCOS Make Me Gain Weight? You're doing everything right — watching what you eat, trying to stay active — and still the weight won't budge. If you have PCOS, this isn't a willpower problem. It's biology. And once you understand the cycle driving it, you can finally start to break it. PCOS creates a vicious cycle between high androgens, insulin resistance, and weight gain and each one feeds into the others. Your body isn't working against you randomly. There are real mechanisms at play, and understanding them is the first step to taking back control. In this episode, I break down exactly what's happening inside your body with PCOS and what you can actually do about it. I'll walk you through the androgen-insulin connection, where and why your body stores fat differently, and what the latest international guidelines say about treatment including newer options like GLP-1 medications. If you've been frustrated, discouraged, or told it's just about eating less and moving more this episode will change how you see your body and your options. Listen now! Episode Highlights: Why high androgens and insulin resistance keep feeding each other and why that makes weight loss so much harder Where PCOS fat actually gets stored (and why it's more than a cosmetic issue) Why losing just 5–10% of your body weight can dramatically improve your symptoms What nutrition and exercise approaches the research actually supports for PCOS What GLP-1 medications like semaglutide are showing in women with PCOS and what you need to know before considering them Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40741650

Episode 234: Is My Thyroid Making Me Gain Weight? 03/30/2026

Episode 234: Is My Thyroid Making Me Gain Weight? If you've been struggling to lose weight and your thyroid came back abnormal, it's natural to connect the dots. But here's what I need you to know, the thyroid is not the whole story. In this episode, I break down exactly what your thyroid does and doesn't do when it comes to your weight. Yes, hypothyroidism affects your weight. But research shows it typically causes only 5 to 10 pounds of gain — and most of that is water retention, not body fat. Treating it will help you feel better, but it won't magically melt the weight away. And please, do not ask your doctor for extra thyroid medication to speed up weight loss. It won't work — and it can seriously hurt you. If you've ever blamed your thyroid for your weight struggles, this episode will give you the honest, research-backed truth — and a clear path forward. Listen now! Episode Highlights: What hypothyroidism actually does to your metabolism and what it doesn't Why the weight you gain from an underactive thyroid is mostly water retention, not body fat What to realistically expect when you start thyroid medication Why taking extra thyroid hormone to lose weight can cause serious harm The four steps to take if you're concerned about your thyroid and your weight Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40662665

Episode 233: Why Am I Not Losing Weight? The Surprising Problem of Undereating 03/23/2026

Episode 233: Why Am I Not Losing Weight? The Surprising Problem of Undereating If you've been eating barely anything and the scale still won't move, the problem might not be that you're eating too much. It might be that you're not eating enough. And there's science behind why. "Why am I not losing weight?" It's the most frustrating question in my clinic. And the answer often surprises people. Today, I'm answering it publicly — with research, not guesswork. In this episode, I break down exactly what happens inside your body when you undereat, why cutting calories too aggressively can backfire, and the six practical steps to get your metabolism working for you, not against you. Listen now! Episode Highlights: Why eating too little triggers metabolic adaptation What the research says about how many fewer calories your body burns as a result of eating too little The three hormonal shifts that happen when you undereat Why you lose muscle — not just fat — on a crash diet, and why that makes future weight loss harder Six actionable tips: the right calorie range, protein at every meal, strength training, diet breaks, and sleep Warning signs that you may already be undereating Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40582445

Episode 232: Five Things You Need to Know About the New Wegovy Pill 03/16/2026

Episode 232: Five Things You Need to Know About the New Wegovy Pill You've heard about the Wegovy shot. Now there's a pill — and the confusion is already spreading. Is it the same? Does it work as well? Can you take it with your other medications? In December, the FDA approved an oral form of semaglutide specifically for weight management and cardiovascular risk reduction. That's a game-changer — but only if you know how to use it correctly. Take it wrong and it won't work at all. In this episode, I will break down the five things you need to know about the new Wegovy pill. I will talk about the science behind SNAC technology, why this medication goes beyond weight loss, and what are the side effects to expect If you or someone you love is exploring weight loss medication options, this episode gives you the clarity to have a smarter conversation with your doctor. Listen now! Episode Highlights: Why the timing and conditions of how you take this pill are non-negotiable The science behind SNAC technology and why this pill can't just be swallowed with breakfast Why this medication goes beyond weight loss and also protects your heart What to do if you're already taking levothyroxine or other empty-stomach medications What side effects to expect, and how much weight loss to realistically anticipate Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40423545

Episode 231: What happens when you stop your GLP-1? 03/09/2026

Episode 231: What happens when you stop your GLP-1? If you're on Wegovy, Zepbound, Ozempic, or Mounjaro — and worried about what happens when you stop — this episode is for you. The fear of gaining it all back is real. But weight regain is not inevitable. It's manageable. And I'm going to show you how. “What happens when you stop your GLP-1?” This is one of the most common questions I get in my clinic every single week. It's time I answered it publicly — with science, not fear. In this episode, I break down exactly what happens in your body when you stop your GLP-1, why weight regain happens, and the five pillars you need to protect your results, whether you're stopping by choice or out of necessity. Listen now! Episode Highlights: The physiological reason hunger surges and metabolism slows when you stop GLP-1s What the SURMOUNT-4 clinical trial tells us about weight regain after stopping Tirzepatide Who is at highest risk for regaining weight The 5 pillars of weight maintenance: protein, resistance training, carb awareness, appetite retraining, and medication transition strategy Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40361725

Episode 230: Top 5 Weight Loss Myths Your Doctor Wishes You’d Stop Believing 02/23/2026

Episode 230: Top 5 Weight Loss Myths Your Doctor Wishes You’d Stop Believing Every single week in my clinic, I see smart, motivated people stuck in their weight loss journey not because they're doing something wrong, but because they believe something wrong. The myths surrounding weight loss are so deeply embedded in our culture that even some physicians still repeat them. And the cost? Shame, delayed treatment, and people giving up on themselves unnecessarily. I've spent over a decade watching these myths do real damage and I'm done staying quiet about it. In this episode, I'm breaking down the top 5 weight loss myths I wish my patients would stop believing and replacing them with what the science actually says. If you've ever said "I just need more willpower" this episode is for you. Listen now! Episode Highlights: Why "calories in, calories out" is an oversimplification of a complex metabolic system How metabolic adaptation explains why what worked before stops working Why obesity is a chronic, relapsing disease The truth about weight loss medications and why using them is NOT cheating Why the scale is just data, not a report card, and what metabolic progress really looks like Why stopping everything after weight loss leads to weight regain, and what to do instead Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40197030

Episode 229: Nutrition for Your Workout 02/16/2026

Episode 229: Nutrition for Your Workout You're doing all the right things—showing up to the gym, getting your steps in, strength training—but that scale? Still not moving. Sound familiar? In this episode, I'm breaking down exactly how to eat to support your workouts without sabotaging your weight loss goals—and without overthinking it. No sports nutrition degree required, I promise. I've seen too many patients work incredibly hard in the gym only to undo their progress at the kitchen table. Exercise is powerful, but nutrition determines whether that exercise actually works for weight loss. And once you understand a few simple principles about pre- and post-workout nutrition, everything clicks into place. Learn why exercise alone doesn't guarantee weight loss, which common myths are holding you back, and how to fuel strategically for recovery and results. Sign up for the Back on Track: Setting the Vision for your health Masterclass: Episode Highlights: Why exercise is powerful but nutrition determines whether it works for weight loss The truth about eating before and after workouts Pre-workout fuel: when you need it, when you don't, and what actually works Post-workout recovery: protein targets, hydration basics, and avoiding the "reward" trap Special considerations for insulin resistance, PCOS, perimenopause, and GLP-1 users How to match your food to your workout type and intensity Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/40121530

Episode 228: Back to the Basics: What the New Dietary Guidelines Mean for Your Weight Loss Journey 01/19/2026

Episode 228: Back to the Basics: What the New Dietary Guidelines Mean for Your Weight Loss Journey The 2025-2030 Dietary Guidelines for Americans just dropped, and they represent a major shift from rigid rules to personalized, sustainable nutrition. These aren't just recommendations—they shape what your doctor tells you, influence insurance policies, and determine what's served in schools and hospitals. In this episode, I break down the most important updates and translate them into simple, actionable steps you can implement today. No overwhelm, no perfection required—just practical strategies rooted in the latest research. Tune in to learn the new protein recommendations that could transform your weight loss results, why your cooking method matters more than you think, and which small changes create the biggest health impact over time. --- Sign up for the Back on Track: Setting the Vision for your health Masterclass: Episode Highlights: The new protein target: 1.2-1.6 grams per kilogram body weight (and why it matters for muscle preservation, satiety, and metabolic health) Why cooking methods can sabotage your progress—simple swaps from deep-fried to baked, roasted, or grilled The truth about fats: why healthy fats aren't the enemy and which ones to prioritize Practical carb guidance: focus on fiber-rich whole grains, not elimination Sugar reality check: keeping added sugars under 10 grams per meal Sodium targets and how to actually track your intake The permission to be flexible: mixing plant and animal proteins for variety and nutrition Why progress beats perfection—start with just one or two changes this week Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/39778005

Episode 227: The Wegovy Pill: A New Option for Weight Loss Treatment 01/12/2026

Episode 227: The Wegovy Pill: A New Option for Weight Loss Treatment In this important episode, I break down the newly FDA-approved Wegovy pill and what it means for obesity treatment. The first oral GLP-1 medication for obesity has arrived, offering a needle-free alternative to weekly injections. This development could transform access for patients who've avoided treatment due to injection hesitation, cost barriers, or preference for daily pill routines. Tune in to learn what the Wegovy pill is, how it works, and why it represents a major step forward in giving patients more options for sustainable weight loss. Sign up for the Back on Track: Setting the Vision for your health Masterclass: Episode Highlights: How the Wegovy pill works as a daily medication vs. weekly injections The science behind GLP-1 receptor agonists and appetite regulation Clinical data showing approximately 13.6% body weight reduction Overcoming injection hesitation—a major barrier to treatment adherence Proper dosing: daily pill on empty stomach with specific timing requirements Common side effects and important black box warnings to know Affordable self-pay pricing: starting at $149/month through NovoCare pharmacy program Why more options mean better care for chronic disease management Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/39711200

Episode 226: Stronger Together 01/05/2026

Episode 226: Stronger Together If you've fallen off your weight loss journey—whether from illness, the holidays, or life's unexpected turns—this episode will help you start moving forward again. I'm opening up about my own 2025 health crisis: developing blood clots in both lungs that stopped me in my tracks physically and emotionally. After significant weight gain and struggling to walk a mile that once took me 12 minutes, I'm sharing the hard-won lessons from rebuilding my fitness from scratch. In this episode, I tackle the mental and physical challenges of restarting when you're nowhere near where you used to be. Whether you're getting back on track after illness, holidays, or just feeling stuck, I walk you through three practical strategies that helped me go from exhausted after one walk to running comfortably again. Episode Highlights: How serious illness can derail both fitness and self-worth Why your inner dialogue matters more than you think during setbacks Three actionable strategies for resetting your weight loss journey The power of scheduling workouts and building accountability Dr. Shelly's 2026 fitness goals: Olympic triathlon, Mount Kilimanjaro, and Berlin Marathon Why flexibility and grace are essential when life throws you off course Upcoming vision workshop on January 15th at 7pm EST Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/39623995

Episode 225: Best of 2025 12/29/2025

Episode 225: Best of 2025 As we close out 2025, I'm celebrating you—my listeners—by revisiting the year's most popular episodes. This isn't just a highlight reel; it's a roadmap to understanding why sustainable weight loss requires more than willpower. I'm sharing the most impactful insights from 2025 that tackle the hidden barriers blocking your progress: stress hormones storing belly fat, sleep deprivation hijacking your hunger signals, and the surprising truth about fructose damaging your liver and kidneys. In this special compilation episode, I break down the science behind the struggles and give you actionable strategies that actually work in real life. If weight loss feels harder than it should—even when you're doing everything "right"—this episode reveals why. Featured Episodes: Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/39551050

Episode 224: Strong Over 60: GLP-1 Weight Loss Without Muscle Loss 12/08/2025

Episode 224: Strong Over 60: GLP-1 Weight Loss Without Muscle Loss If you're over 60 and using GLP-1 medications like Wegovy or Zepbound, this episode could save your independence. In this episode, I reveal the hidden danger of rapid weight loss without muscle protection—and the simple strategies that keep you strong, steady, and mobile as the pounds come off. GLP-1 medications are transforming weight loss for older adults managing diabetes, high blood pressure, and joint pain. But there's a critical piece most people miss: sarcopenia. This age-related muscle loss accelerates during weight loss, putting you at risk for falls, fractures, and losing the strength you need for daily activities. Tune in to learn how to lose weight safely while protecting the muscle that keeps you independent—and why strength training, protein intake, and staying active aren't optional on this journey. Episode Highlights: Why GLP-1 medications like Wegovy and Zepbound are game-changers for adults 60+ The connection between muscle loss, falls, fractures, and loss of independence How sarcopenia affects metabolism, blood sugar control, and bone health Protein requirements for older adults (25-30 grams per meal) Simple strength training routines you can do at home—no gym required Red flags that muscle loss is happening too fast Real patient story: turning weakness into strength on a GLP-1 journey Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/39335035

Episode 223: Orforglipron 101: The Next Big Thing in Obesity Medications 12/01/2025

Episode 223: Orforglipron 101: The Next Big Thing in Obesity Medications If you've been waiting for a GLP-1 weight loss medication that doesn't require injections, special timing, or refrigeration—this episode is for you. Learn about the groundbreaking oral pill that could hit the market as early as 2026. For years, effective obesity medications have meant needles. But Orforglipron could change everything. In this episode, I break down the science, clinical trial results, and approval timeline for this first-of-its-kind once-daily pill that delivers GLP-1 benefits without the injection barriers. Whether you're needle-averse, struggle with injection site reactions, or simply want more convenient options, this new medication could expand access to life-changing obesity treatment. Episode Highlights: What makes Orforglipron different from Wegovy, Zepbound, and oral semaglutide Clinical trial results: 12.4% average weight loss over 72 weeks Why this oral pill doesn't require fasting or special timing like other oral GLP-1s The FDA accelerated review process and potential 2026 approval timeline Who benefits most: patients with needle phobia, injection site reactions, or seeking maintenance therapy What to expect regarding insurance coverage and access once approved Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/39215155

Episode 222: Holiday Strategies for Staying on Track 11/24/2025

Episode 222: Holiday Strategies for Staying on Track The average American gains 5-10 pounds during the holidays—weight that rarely comes off afterward. As we officially enter what I call "the holiday stretch," I'm giving you practical strategies to enjoy your celebrations without derailing your health goals. Here's the truth: Thanksgiving, Christmas, and New Year's are just ONE DAY each—not two months of non-stop eating. In this episode, I'm sharing seven evidence-based strategies that work in real life—whether you're dealing with pushy relatives, office parties, or emotional eating triggers. I'll show you how to enjoy your holiday traditions while protecting your progress. You'll learn the biggest mistake people make, master my simple plate method for balanced holiday meals, and get word-for-word scripts for setting boundaries when family pushes food on you. Episode Highlights: The one mindset shift that makes holiday eating manageable Why "saving calories" for the big meal sabotages your control The plate method: A simple visual guide for balanced holiday portions How to handle relatives who pressure you to eat more Smart drink strategies that cut hundreds of hidden calories Why one indulgent day won't undo your progress (but giving up might) Movement tips that don't require gym time during busy holiday schedules Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/39143835

Episode 221: Obesity is more than willpower 11/17/2025

Episode 221: Obesity is more than willpower 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 even with extreme dedication, I never reached a "normal" BMI. My story, combined with my clinical expertise, will reveal the biological, genetic, environmental, and social factors that make obesity a chronic disease affecting millions. Episode Highlights: Why 40-70% of obesity cases are driven by genetics, not lifestyle choices The real struggles patients face: severe calorie restriction, exercising 6-7 days a week, and still not losing weight Medical conditions and medications that cause weight gain—from PCOS to antidepressants How food deserts, safety concerns, and financial barriers create obstacles beyond personal control Four practical ways to show compassion to someone living with obesity Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/39056995

Episode 220: Historic Agreement on GLP-1 Obesity Medication 11/10/2025

Episode 220: Historic Agreement on GLP-1 Obesity Medication 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 public health overall—and why it’s being called a game changer for people struggling with obesity and related health conditions. Episode Highlights: Major price cuts announced for Wegovy, Ozempic, and Zepbound under a new federal deal Medicare to cover obesity drugs for the first time through a five-year pilot program Medicaid given the option to join discounted pricing starting 2026 Team Rx launches a direct-to-consumer model cutting out costly middlemen Lower cash prices for GLP-1 medications and upcoming oral versions Eli Lilly and Novo Nordisk to invest billions in U.S. manufacturing Program expected to improve access, affordability, and supply of obesity and diabetes meds Ongoing push for the Treat and Reduce Obesity Act to expand national coverage Connect with Dr. Alicia Shelly: Website | Facebook | Instagram | Linked In | Twitter | 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!) 👉 /episode/index/show/backontrack/id/38974985

Back on Track: Achieving Healthy Weight Loss

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