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Everyone on Ozempic worries about losing muscle, almost no one is watching their bones, and one in two women over 50 will fracture one.

Registered dietitian Ana Reisdorf sits down with Tony Orlando, founder of DEXA Plus, to break down what a DEXA scan actually reveals about your body on a GLP-1: bone density, muscle, and the hidden visceral fat the scale will never show you. If you're losing weight on Wegovy, Zepbound, or Mounjaro, this is the metric that tells you whether you're doing it right — or quietly wrecking the muscle and bone you can't afford to lose.

IN THIS EPISODE
- What a DEXA scan measures (bone density, muscle, visceral fat) and why the scale lies when you're on a GLP-1
- Why insurance won't pay for a DEXA until age 65 — and what it actually costs out of pocket
- How rapid Ozempic and Wegovy weight loss can quietly drain your bone density
- Visceral fat vs subcutaneous fat: the hidden fat around your organs tied to type 2 diabetes and heart disease
- DEXA vs InBody and bioimpedance scales — why your body fat reading can swing 7+ points between them

ABOUT THE GUEST
Tony Orlando is the founder of DEXA Plus and a leading advocate for integrating precision health technology into modern healthcare and wellness practices. He works with medical providers, clinics, and performance facilities to implement DEXA scanning as a core tool for delivering accurate, actionable body composition data. Tony's focus is on helping providers move beyond the scale—giving their patients and clients real insight into fat loss, muscle retention, and metabolic health, especially in the context of GLP-1 therapies. His approach empowers professionals to use objective data to guide better decisions, improve outcomes, and create more personalized care. Through DEXA Plus, Tony is helping reshape how providers measure progress, turning weight loss from guesswork into something that can be clearly tracked, understood, and optimized.

CONNECT WITH TONY
Website: https://www.dexaplus.com
Find a provider: https://www.dexascan.com
Instagram: https://www.instagram.com/tonyorlando.dexaguru/
YouTube: https://www.youtube.com/@dexaplus3583

SPONSOR
Tyde Wellness — GLP-1 care done right: licensed providers who adjust your dosing as your body changes, plus a real care team you can message when you plateau.
http://tydewellness.com/GLP1Hub — code GLP1Hub50 for $50 off your first month

CHAPTERS
00:00 The warning no one gives GLP-1 users
01:58 Meet Tony & what a DEXA really measures
04:06 Why insurance won't cover it until 65
06:16 What a DEXA costs out of pocket
12:05 The hidden toxic fat around your organs
13:33 Protecting your bones on a GLP-1
20:20 DEXA vs InBody: why the numbers don't match
24:51 The protocol every GLP-1 user needs
27:11 VO2 max, RMR & the markers that matter
30:04 Where health and longevity are headed

MORE FROM GLP-1 HUB

📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com

🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.

🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com
📷 Follow on Instagram: @glp1hub
📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub

*Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.

*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

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If you have diabetes and you're on a GLP-1, the rules are different, and one of them can land you in the ER. A 20-year diabetes specialist walks through it.

Ana Reisdorf, MS, RD sits down with Erin Palinski-Wade, RD, CDCES, a registered dietitian and certified diabetes care and education specialist who has been using GLP-1s with patients for blood sugar control long before they exploded for weight loss. They cover what diabetes patients need to do differently on Ozempic, Wegovy, or Mounjaro, how to tell a side effect apart from a dangerous drop in blood sugar, what protein and fiber actually need to look like on your plate, how to break a plateau, and the mindset shift Erin says separates the people who keep the weight off from the ones who don't.

IN THIS EPISODE
- Why GLP-1s were used for blood sugar regulation long before they became weight-loss household names
- How to tell a GLP-1 side effect apart from a dangerous drop in blood sugar
- The "balance plate" — protein, fiber, and slow-digesting carbs — and why it matters more than carb counting
- Why most plateaus aren't actually plateaus, and the three things to look at when you're truly stuck
- The mindset shift that separates people who keep the weight off from those who lose and regain

ABOUT THE GUEST
Erin Palinski-Wade, RD, CDCES is one of the most-quoted dietitians in the country and a sought-after speaker, spokesperson, and media source on nutrition and diabetes. She is the author of four books, including the bestselling 2 Day Diabetes Diet and Belly Fat Diet For Dummies, and has appeared on Good Morning America, The Dr. Oz Show, The Doctors, and QVC. Erin contributes regularly to The New York Times, The Washington Post, and Parade Magazine, and USA Today named her TikTok one to follow for relatable nutrition advice. She maintains a private practice in New Jersey and runs the Healthy Mom Happy Family YouTube channel.

CONNECT WITH ERIN
Website: https://erinpalinski.com
YouTube: https://www.youtube.com/@HealthyMomHappyFamily

SPONSORS
Tyde Wellness — sustainable weight loss with support, for women.
https://tydewellness.com/GLP1Hub — use code GLP1HUB50 for $50 off your first month

Timeline (Mitopure) — clinically studied Urolithin A to support mitochondrial renewal and muscle health.
http://timeline.com/GLP1HUB — 20% off your order

CHAPTERS
00:00 Mindset is the difference
01:21 Meet Erin Palinski-Wade, RD, CDCES
03:14 GLP-1s before they were famous
07:32 Diabetes on a GLP-1: what's different
09:09 Hypoglycemia risk and how to spot it
13:13 Protein, fiber, and the balance plate
15:09 Carb counting in 2026
16:37 Side effects and how to manage them
22:49 Why plateaus happen and how to break them
30:31 The mindset shift that separates winners from yo-yos

MORE FROM GLP-1 HUB

📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com

🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.

🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com
📷 Follow on Instagram: @glp1hub
📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub

*Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.

*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.

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Jamie Selzler weighed 652 pounds. Four years later, he's lost 370 on a GLP-1 without bariatric surgery. And the lesson he wants you to take has nothing to do with the scale.

Ana Reisdorf, MS, RD sits down with Jamie Selzler, who has lost 370 pounds over four years on a GLP-1 with no surgery. They cover the airplane conversation with an endocrinologist that first opened the door, the three turning points in three weeks that finally made him act, the four mindset rules he developed along the way, how he rebuilt movement into his life from a starting point of needing a walker, and the message about self-worth he wants every person at the very beginning of their journey to hear.

IN THIS EPISODE
- The decades of failed dieting that came before — Slim-Fast, Atkins, Optifast, and a 100-pound regain
- The three turning points in three weeks that pushed him to finally act
- The four mindset rules that made this attempt different (and why motivation isn't one of them)
- How he started movement at 550 pounds and now walks 12,000+ steps a day
- The self-worth message he wants every person in the very beginning of their GLP-1 journey to hear

ABOUT THE GUEST
Jamie Selzler is a certified personal trainer with the National Academy of Sports Medicine who has lost 370 pounds over four years on a GLP-1, going from 652 pounds to under 285 without bariatric surgery. Featured in The New York Times and followed by more than 100,000 people on social media, Jamie now works with NASM to help reshape how the fitness industry treats people on GLP-1 medications. His mission is to make movement accessible — physically and emotionally — for anyone who has struggled with obesity.

CONNECT WITH JAMIE
Website: https://myonechange.com
Instagram: https://www.instagram.com/jselzler/

Tiktok: https://www.tiktok.com/@jamselz

SPONSOR
Tyde Wellness — sustainable weight loss with support, for women.
https://tydewellness.com/GLP1Hub — use code GLP1HUB50 for $50 off your first month

CHAPTERS
00:00 You can't hate yourself thin
01:37 From 652 pounds and counting
03:26 A history of dieting and broken promises
07:45 The airplane conversation that opened the door
09:07 Three turning points in three weeks
12:40 The four mindset rules
24:43 Starting movement at 550 pounds
29:48 Becoming a certified personal trainer
30:25 Changing how the fitness industry sees GLP-1s
32:36 The one message Jamie wants you to hear

MORE FROM GLP-1 HUB

📬 Get The Steady State, Ana's weekly newsletter with GLP-1 guidance from a dietitian who's on one: http://join.glp-1hub.com

🎙 Subscribe wherever you listen to podcasts, and if this episode helped, leave a quick review on Apple Podcasts or Spotify - it's the single best way to help more people find the show.

🌐 Shop GLP-1 essentials, meal plans, and recipes: https://shop.glp-1hub.com
📷 Follow on Instagram: @glp1hub
📺 Watch on YouTube: https://www.youtube.com/@GLP-1hub

*Some of the links shared are affiliate links. When you make a purchase, I will receive a small commission at no cost to you. Thank you for supporting the show.

*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.