The Dr. Francavilla Show
Carolynn Francavilla, MD is Board Certified in Family Medicine and a Diplomate of the American Board of Obesity Medicine. She owns and operates Green Mountain Partners for Health and Colorado Weight Care. Dr. Francavilla is a nationally recognized obesity expert, lecturing on the topic obesity as well as through her own platform HelpYourPatientsLoseWeight.com. She serves on the Obesity Medicine Association Board of Trustees. She is an Assistant Professor at Rocky Vista University and Volunteer Faculty at the University of Colorado School of Medicine. She is passionate about helping people lose weight to treat and prevent medical problems. Dr. Francavilla...
Forest Bathing: Health Benefits and How to Do It
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Is forest bathing just a wellness trend, or is there real science behind it? The answer is a bit of both.
Forest bathing means spending calm, intentional time among trees. It costs nothing, needs no equipment, and carries almost no risk. No supplements, no subscriptions, no complicated routine. Just you, some trees, and a slower pace....
Obesity Medication Essentials: Zepbound, Wegovy, Foundayo, Phentermine, Contrave
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Which Weight Loss Medication Fits You? Zepbound, Wegovy, Foundayo, Phentermine, Contrave, and More
How do you choose between a weekly injection, a daily pill, and weight loss medications that have been around for decades? With options like Zepbound, Wegovy, Foundayo, Phentermine, and Contrave, it’s easy to feel overwhelmed before you even start the conversation with your doctor.<...
Emotional Eating: How to Recognize It and Break the Cycle with Tricia Nelson
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Why Do We Eat When We’re Not Hungry?
Have you ever stood in front of the fridge for the third time in one evening, not because you were hungry, but because you were hoping something in there would make you feel better? If so, you’re far from alone. Emotional eating is one of the most common strugg...
Sugar and Artificial Sweetness- What's the limit?
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Let’s Talk About Sugar (The Real Kind and the Fake Kind)
Sugar gets tossed around for everything: the white stuff in your pantry, the fruit in your bowl, even that pumpkin spice latte we swear is “basically just coffee.” In this episode, we break down what sugar actually is, starting with the four types humans eat (glucose...
Food and Sugar Addiction with Dr. Vera Tarman
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Could You Be Addicted to Sugar?
Ever told yourself you'd have just a few cookies, and then somehow the whole row was gone? Or put the ice cream back in the freezer, only to keep thinking about it until you finally gave in?
If so, you're not alone. Today's guest says sugar and ultra-processed food can pull on the brain harder than willpower can handle. This week, we're digging into fo...
Wegovy, Zepbound and Obesity Care for Older Adults With Dr. Melanie Jay
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Is it too late to lose weight at 65?Â
And if it isn't, how much do you actually need to lose, and which treatments are safe for an older body? Now that Medicare patients can access GLP-1 medications through the Bridge program, these questions are a lot more practical than theoretical, and there's like, a ton of confusion out there about what's right for older adults.
To help sort it out, tod...
GLP and Obesity Treatment Coverage with Dr. Doug Maready
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Why "Too Expensive" Keeps Winning Against a Disease That's Costing Us Billions
That's the tension running through this whole episode. Dr. Doug Maready has spent nearly two decades wrestling with that question, not from behind a desk, but in the exam room with actual patients. He's an internal medicine and obesity medicine physician practicing in Mesa, Arizona, and the founder of Maready Medical, now part of Forte Wellbeing. His guiding philosophy is st...
Thyroid Essentials and What You Need to Know About the Thyroid and GLP1 with Dr. Chhaya Makhija
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Could your thyroid be affecting more than you realize?
From understanding your thyroid and making sense of TSH, free T4, and free T3 to navigating weight changes, thyroid nodules, and GLP-1 medications, there’s a lot to understand when it comes to thyroid health.
In this week’s episode, we break it all down in simple, easy-to-understand terms — including what your thyroid does, how your lab results work, which symptoms may be c...
Meal Replacements for Weight Loss with NP Jennifer Barlow
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Ever wonder why meal replacement shakes have such a bad reputation, even though some of the most successful weight loss stories involve exactly that?
There’s a lingering idea that meal replacements are outdated or that GLP-1 medications have completely replaced them, but that’s not the full picture. In this episode, we sit down with Jennifer Barlow, a board-certified family nurse practitioner and founder of True North Medical in Rho...
Celebrating Your Way to Health Goals
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
When's the last time you gave yourself real credit — not for hitting some big goal, but for something small you did today?
If nothing comes to mind right away, that's a pretty common spot to be in, and it's exactly the ground this episode covers. It also happens to mark a milestone of its own: episode 200. That's worth sitting with for a second, not just as a lead-in to today's topic, but beca...
Menopause and Weight Essentials with Dr. Raina Patel
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Ever feel like your body just decided to rewrite the rules overnight — same workouts, same diet, but suddenly the scale (and your waistline) tell a totally different story?Â
If you're in perimenopause or menopause and feeling blindsided by these changes, you're definitely not alone, and there's actually a clear, physiological explanation behind it. To break it all down, we sat down with Dr. Raina Patel, a primary care physician at the University of Ch...
Insomnia with Dr. Muhammad Usama
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Do you actually know the difference between a rough night's sleep and a real sleep disorder?
Most people use the word "insomnia" for both, but the line between them is a lot more specific than it sounds — and knowing where that line sits can change how someone approaches their own sleep struggles entirely.
That's exactly what this episode digs into, with Dr. Muhammad Usama returning to the show after a prio...
What is Metabolic Health with Dr. Linsday Ogle
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.co
Ever wonder why two people can eat the same lunch and have completely different blood sugar reactions? Or why someone can be a "normal" weight and still be dealing with insulin resistance, while someone else in a bigger body has picture-perfect labs?
Turns out, the number on the scale has been stealing the spotlight from something way more important this whole time — metabolic health. Dr. Lindsay Ogle, a board-certified family and obesity medi...
Nutrition Made Simple in 30 Minutes
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Do you know what happens in your body when you eat a meal? Or did you, like most of us, make it to adulthood without anyone explaining the basics?
If that question made you pause, you're not alone. Most "healthy eating" advice arrives in fragments — a rule from one diet trend, a warning from another — without ever adding up to a full picture of how food actually works in the body.
Prot...
JAMA Secret Shopper and What Obesity Care Should Actually Look Like
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have You Ever Wondered If Your Telehealth Weight Loss Clinic Is Actually Giving You Real Medical Care, or Just a Prescription?
This episode dives into a JAMA study that's been generating serious buzz throughout the obesity medicine community, and once you hear what it uncovered, you'll understand exactly why. Researchers conducted a "secret shopper" investigation, sending someone posing as a patient to 49 different telehealth clinics offering obesity management medications, simply to see wh...
Cut Back Screen Time to Improve your Health and Weight
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What if the biggest thing standing between you and your health goals wasn't food, or exercise, but the screen you're holding right now?
Today we're talking about screen time — how too much of it affects your health, your weight, and what you can actually do about it. I've got five problems screens create, and five solutions to go with them, so stick with me.
Screen time isn't something I bring up w...
GLP1s, Surgery, and Menopause with Triple Threat Dr. Angela Glasnapp
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever wonder why losing weight can suddenly feel impossible in your 40s or 50s, even when nothing about your diet or workout routine has changed?
That's exactly the question this week's episode sets out to answer, with guest Dr. Angela Glasnapp joining the conversation. Dr. Glasnapp is a board-certified bariatric surgeon, obesity medicine specialist, and menopause practitioner with New York Bariatric Group, and for more than 16 years, she's helped patients improve their he...
Five New Shifts in How Exercise Affects Health
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever feel like exercise gets treated as this magic weight-loss tool, when really that's not even its main superpower?
Here's the truth: most people don't lose significant weight from exercise alone. Your body is smart (annoyingly so) — it adapts, burns fewer calories than you'd expect, and can even nudge you to move less throughout the day or eat a li...
Genetics of Obesity with Dr. Jesse Richards
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What If Your Weight Struggle Was Never About Willpower?
What if the reason some people struggle with their weight their entire lives has nothing to do with what they're eating or how hard they're trying — and everything to do with their DNA? It's a question that doesn't get asked nearly enough, and today, we're finally diving into it.
For so many people living with severe obesity, the missing piece of the...
Wegovy, Zepbound, and Foundayo Coverage for Medicare Patients with the Bridge Program
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What if Medicare finally made GLP-1 medications for weight management more affordable — could this be the moment that changes access for millions of people?
Today, we're talking about something that's been years in the making in the world of obesity care: the expanded coverage of anti-obesity medications for patients on Medicare. Starting July 1st, eligible Medicare beneficiaries have a real opportunity to access GLP-1 receptor agonist medications at a much more affordable mont...
Custom GLP1 Dosing With Dr. Ian Justl Ellis of Voafit
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What if the reason so many people struggle on GLP-1 medications isn’t the medication itself — but the way it’s being dosed?
Today we’re diving into something that could genuinely change the way you think about GLP-1 therapy: custom dosing. And there is honestly no one better to talk about this with than Dr. Ian Justl Ellis.
Dr. Ian is a board-certified physician, certified personal fitness instructor, and the creato...
Micro-Dosing GLPs Like Wegovy and Zepbound — Do We Even Need To???
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What If the Lowest Dose Isn't Actually the Safest Dose?
If you've spent any time in weight loss or wellness spaces online, you've probably come across the term microdosing — and chances are, it was framed as the smarter, gentler, more mindful way to use GLP-1 medications. But is that actually true? That's exactly what we're digging into today.
In this episode, we cover:
Is "Microdosing" GLP-1s Actually a Thin...Calorie Counting and Logging- Should you do it and what to know
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have you ever wondered if counting calories is actually worth your time — or if it's just another diet trap dressed up in a tracking app? In this week’s episode, we talk about just that, and the answer is more nuanced than a simple yes or no. Calories are real, they matter, and paying attention to them can be genuinely useful — but the way many people approach calorie counting is often where things go sideways...
Wegovy High Dose: Who Should Take It and What Are the Side Effects?
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Tripling the dose of Wegovy sounds intense — so why are researchers doing it, and who is it actually for?
For a long time, 2.4 mg weekly was considered the ceiling for Wegovy. But a newer option quietly entered the conversation: Wegovy HD, a 7.2 mg weekly dose of semaglutide. And despite how big that jump sounds on paper, there surprisingly hasn't been that much discussion around it yet.
As weight management treatment cont...
You Are Doing Better Than You Think
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Are You Being Too Hard on Yourself? Here's What Your Doctor Actually Sees
"When was the last time you actually gave yourself credit for how far you've come?"
That question has been sitting with me for a while now — and after a string of patient visits that all pointed to the same thing, it felt like the right time to talk about it. This week I'm stepping away from the gues...
Trauma and Its Impact on Health and Weight with Dr. Meghan Tierney
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have you ever done everything right — the workouts, the meal plans, the early bedtimes — and still felt like your body was quietly working against you?
Most people assume the answer is a stricter routine or a better diet. But what if the missing piece has nothing to do with either? What if it goes all the way back to something that happened to you years, maybe even decades, ago?
This episod...
Foundayo: A New Medication for Obesity and Chronic Weight Management with Dr. Becky Andrick
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What If You Could Get the Benefits of a GLP-1 — Without the Needle?
That's exactly the question Foundayo is answering — and it's one that a lot of patients have been waiting to ask. For years, one of the biggest barriers to GLP-1 therapy has been the injections. Not everyone is comfortable with self-injecting, not everyone has the time to manage refrigeration and travel logistics, and not everyone needs the most powerful medication on the...
Peptides: Concerns and Challenges with Dr. Michael Albert
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What if something being talked about as “cutting-edge” in health spaces… isn’t actually well understood yet?
I’m excited to talk about a topic that keeps coming up everywhere right now — peptides.
They’re being discussed in clinics, online forums, and social media feeds, often with a mix of confidence and confusion. The problem is, the conversation has gotten so loud that it’s hard to separate what’s actually known from...
Bariatric Surgery, Wegovy/Zepbound or both? With Dr. Jessica Cutler
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have you ever wondered if weight loss surgery and medication are actually better together — or if choosing one means giving up the other?
That question sits at the center of one of the most important — and honestly most misunderstood — conversations happening in metabolic health right now. Most people approach weight loss like it's a multiple choice test: pick surgery, pick medication, pick diet and exercise, and stick with your answer. But the reality...
Healthy Eating and Weight on a Budget With Dr. Mollie Cecil and Emily Shreve
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.c
What does it really look like to make healthy choices for your weight and overall health when money is tight, resources are limited, and access to care isn’t always equal?
This conversation focuses on how to support nutrition, movement, and medical care in a way that actually fits real life—especially when working within a budget.
Joining the discussion are two incredible health advocates. First is Dr. Mollie Cecil, a fami...
GLP-1 Advice with Obesity Medicine Trailblazer Dr. Ken Fujioka
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What if the real breakthrough in weight loss isn’t just the medication—but how it’s actually used day to day?
This week’s conversation features Dr. Ken Fujioka, a longtime leader in obesity medicine who has helped shape the field from its early days to where it is now. As Director of Nutrition and Metabolic Research and Obesity Telemedicine at Scripps Clinic, with over 150 clinical trials and 125+ published studies, his perspectiv...
GLP-1 Meals Made Easy with Dr. Aliza Olive
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Why do so many people on GLP-1 medications feel like they’re doing everything right but still feel lost when it comes to food and long-term success?
This week, we’re diving into something many people on GLP-1 medications are navigating right now: how to build sustainable nutrition habits during treatment, and what it actually takes to set yourself up for long-term success—both while on the medication and beyond.
We’re jo...
3 Quick Ways to Reduce Stress with Dr. Anissa Cordova
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have you ever wondered why stress can feel so overwhelming even when nothing “major” is happening—and why the exact same situation can feel energizing for one person and totally draining for another?
Stress is something that shows up in everyone’s life, literally every single day, but the way we understand and respond to it can completely change how it actually feels in the body and mind. In this episode, we look at st...
The Four Hunger Cues with Dr. Laure DeMattia
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever wonder why you literally can’t stop thinking about food?
For a long time, weight management advice was basically “eat less, move more.” But honestly, it’s way more complicated than just willpower. Biology, hormones, metabolism, and your brain all totally play a role in why we eat and how our bodies handle weight.
Family physician and obesity medicine specialist Dr. Laure DeMattia has decades of experience...
Sleep Apnea and Zebpound, Insomnia, and Restless Legs with Dr. Usama
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Curious how sleep and weight might be more connected than you think?
Not long ago, obesity wasn’t widely recognized as a medical condition. Treatments were limited, and many people assumed weight loss was all about willpower. But (thankfully!) research has shifted that understanding: obesity is a complex disease shaped by biology, environment, hormones, and metabolism.
In this episode, sleep medicine specialist Dr. Usama discusses the connection between sleep, metabolic heal...
Seven Reasons to Cut Back on Alcohol
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Thinking about cutting back on alcohol—but not sure if it’s really necessary?Â
For years, we were told that moderate drinking, especially red wine, might support heart health. A nightly glass felt harmless—maybe even beneficial. But the research has shifted.
We now know alcohol doesn’t improve longevity or heart outcomes and may increase the risk of cancer, liver disease, sleep disruption, weight gain, cognitive decline, and hormonal imbalance...
Muscle Mass and GLPs with Dr. Ali Novitsky
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever worry that losing weight with GLP-1 medications will mean losing strength too? You’re not alone. Many people want to see the scale go down—but they also want to stay strong, protect their metabolism, and feel capable in everyday life. That’s exactly what this week’s episode explores.
I’m joined by Dr. Ali Novitsky, CEO and founder of The Fit Collective. She combines expertise in obesity medicine with practical str...
Zepbound, Wegovy, Phentermine....Which Weight Loss Medication is Right for You?
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com
Have you ever wondered which weight loss medication is actually right for you? With so many options out there—new GLP-1 medications like Wegovy and Zepbound, oral versions hitting the market, and older prescriptions—it can feel totally overwhelming.
In this episode, we break it all down: how much weight you might realistically lose, how other health conditions factor in, cost considerations, who should avoid certain medications, and even how combination therapy can som...
Tips for Binge Eating from “I Blew My Diet Now What” Author Connie Benett
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have you ever found yourself mindlessly reaching for chips, popcorn, or sweets and wondered, “Why do I keep doing this even when I know better?
You’re not alone—and that’s exactly what this week’s episode dives into.
I’m joined by Connie Bennett, a self-described former sugar and carb addict who has transformed her struggles into a mission to help others. Connie is a transformational speaker, TEDx presenter, jou...
Cut Through Health Noise: Wellness Advice with Dr. Heather Hammerstedt
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Feeling overwhelmed by all the health advice out there? Wondering what actually makes sense for your body, your life, and your goals?
In this episode, we’re sharing how to filter through the advice, tips, and trends on social media that can make it feel like you’re falling short. Joining me for this conversation is Dr. Heather Hammerstedt, an emergency medicine physician, lifestyle medicine physician, menopause medicine physician, and integrative nutrition coach...
