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...
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...
The New Dietary Guidelines: Dr. Francavilla’s Thoughts
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have you ever wondered why the government issues dietary guidelines—and what they really mean for what ends up on your plate every day?
The 2026 Dietary Guidelines for Americans, released this January, aren’t just suggestions for personal meals—they guide federal nutrition programs like school lunches, military meals, and other initiatives for both children and adults. In short, they influence what millions of people eat and even shape U.S. agriculture.
Sig...
Body positivity in the GLP1 era with Dr. Meghan Tierney
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
What gets overlooked when we talk about weight, health, and body image?
In this episode, we explore the emotional, social, and medical realities of living in a larger body—beyond the scale or appearance.
My guest is Dr. Megan Tierney, a family physician, obesity medicine specialist, and founder of Sol Health and Wellness in Seattle. She supports women navigating perimenopause, menopause, and metabolic health changes with care that blends medical mana...
Oral Wegovy: All You Need to Know About This New Medication, with Joseph Zucchi
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever wondered what’s really changing the game in weight loss treatments?Â
Well, oral Wegovy might be it. Unlike other GLP-1 medications that require weekly injections, this is the first long-term weight-loss pill in its class. For many people, taking a daily tablet just feels way more doable—it’s flexible, lowers mental barriers, and makes managing weight something that can actually fit into everyday life.
In this episode, my guest is...
Testosterone, Weight, and Health with Dr. Khashayar Farzam
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever wonder how testosterone really affects men’s weight and overall health? Testosterone isn’t just about sex drive—it plays a role in metabolism, muscle mass, energy levels, and where the body stores fat. Yet it’s also one of the most misunderstood hormones, with plenty of myths and oversimplified advice floating around online.
In this episode, we take a deep dive into testosterone, weight, and metabolic health with Dr. Khashayar Farzam. To...
Getting Rid of Overwhelm with Tips for 4000 Weeks: Time Management for Mortals
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever feel like time just keeps slipping away, no matter how hard you try to stay on top of things?Â
As 2025 winds down, it’s the perfect moment to pause and think about stepping into 2026 with more intention—without the pressure of rigid resolutions or endless to-do lists.
Earlier this year, I came across a book that quietly reshaped how I—and many people I’ve shared it with—approach time, product...
Postpartum weight loss including Wegovy and Zepbound with Danielle Marston, FNP
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever wonder why postpartum weight loss can feel so unpredictable—and what’s actually considered normal?Â
It’s a question so many new moms have. In this episode, we’re breaking down what really happens to weight, metabolism, and overall health after pregnancy, without the pressure or unrealistic expectations.
I’m joined by Dani, a family nurse practitioner and one of our obesity experts, who’s also training to become a certified lac...
Liver Disease and Your Weight with Dr. Rajvanshi
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Ever wonder how much your liver really affects your overall health and weight?Â
The liver plays a central role in metabolism, yet its importance is often underestimated.
In this week’s episode, we spoke with Dr. Rajvanshi, a board-certified gastroenterologist, hepatologist, and obesity medicine specialist at Valley Medical Center in Riten, Washington. Beyond his clinical practice, he’s a health technology entrepreneur, developing AI tools to support obesity medicine for both cl...
Heart Health, Cholesterol, Statins, and GLPs with Dr. Alo
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
How much does weight really influence heart health?
For years, cardiologists have seen how carrying extra weight can raise the risk of diabetes, high blood pressure, inflammation, and high cholesterol—the major drivers of heart disease. Losing weight can help, but the harder part has always been keeping it off, since many people end up regaining it over time.
In this episode, Dr. Alo, often known as “America’s cardiolo...
Should I take a GLP-1 with Danielle Marston, FNP
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Should I take a GLP-1? Real Patient Scenarios and Expert Guidance
Trying to figure out if a GLP-1 medication is right for you can feel overwhelming. With options like Wegovy, Zepbound, Ozempic, and Mounjaro, it’s not just about weight—these medications can also support heart health, liver function, sleep, and blood sugar. Understanding who truly benefits takes the guidance of an expert.
Joining me today is Danielle Marston, or Dani...
Weight Loss Through the Holiday Season: Bonus GLP Tips!
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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)
Have you noticed how the holidays can make it harder to stay on track—whether it’s with food, movement, routines, or even your intentions?
This season brings travel, celebrations, full schedules, and plenty of temptations. In this episode, we’re covering the areas that often pose the biggest challenges:
Enjoying traditions while staying on trackSetting realistic health goals for the holidaysRethinking holiday drinkingHoliday tips for GLP-1 usersWe’ll share prac...
