The Tamsen Show
The #1 Ozempic Doctor Reveals The Truth About GLP-1s and Microdosing
Wed, 26 Mar 2025
Is Ozempic the answer to lasting weight loss, or is there more to the story? In this episode of The Tamsen Show, Tamsen speaks with Dr. Alexandra Sowa, a board-certified physician specializing in metabolic health, to unpack the truth about GLP-1 medications like Ozempic. We explore how these drugs work, the emotional realities of weight loss, and why most people who start Ozempic may stay on it for life. Dr. Sowa also addresses the risks of misuse, the rise of compounding pharmacies, and why sustainable habits like strength training and food tracking are essential alongside medication. If you're curious about Ozempic, its effects on menopause, or the future of GLP-1 drugs, this episode delivers the facts and insights you need. What You'll Learn: How do GLP-1 medications like Ozempic work? Why weight loss isn't just about strong willpower The importance of healthy habits and food tracking if you take Ozempic The rise of compounding pharmacies and the larger risks involved How Ozempic interacts with menopause and hormone therapy Why strength training and whole foods are crucial for long-term health The emotional toll of body dysmorphia, navigating aging body image Can you realistically stop taking GLP-1 drugs once you start? Watch the Full Episode Here: https://www.youtube.com/@TamsenFadalTV Get my new book, How To Menopause, Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before 💖 http://www.howtomenopause.com Today's episode is sponsored by Field of Greens! Get 20% off your first order! Just use code TAMSEN at fieldofgreens.com. Follow The Tamsen Show: Instagram: https://www.instagram.com/thetamsenshow/ Follow Tamsen Fadal: Website: https://www.tamsenfadal.com Instagram: https://www.instagram.com/tamsenfadal Tik Tok: https://www.tiktok.com/@tamsenfadal For more insights, check out Dr. Sowa’s book ‘The Ozempic Revolution’ https://getsowell.com Find Dr. Sowa here: https://alexandrasowamd.com Medical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Chapter 1: What are GLP-1 medications and how do they work?
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It's the nutrition my body gets and needs daily. And only Field of Greens makes you this better health promise. Your doctor will notice your improved health or your money back. Let me get you started with my special discount. I got you 20% off your first order. Just use the code TAMSON at fieldofgreens.com. That's code TAMSON at fieldofgreens.com. So when I was 26 years old, I was in television.
And to me and the time, and you remember that time in life, skinny equaled success and anything else equaled failure. And so I had come up through being a cheerleader and a dancer and you got weighed, you had weigh-ins. And if you weighed too much, you didn't perform that weekend. And that was it. And you sat out the game. And so... I had no idea that those were all eating disordered thoughts.
And so I hit 26 and went full into, you know, being bulimic and worked out, you know, 888, worked it all off, starved, went back and forth and didn't get on a scale for years and years, maybe decades. And I would go into a doctor's office, turn around the other way before I got, you know, while they would weigh me. So I didn't see it. I didn't want to be told.
So those are really emotional things that are really hard to let go of. Even now, even now that I feel like, okay, I'm not doing that anymore, but I do remember those things. So when you say step on a scale, I go, oh, whoa, do you have to do that part?
Of course. And I would say that everybody is individual. And if you came with a story, like someone came to me with a story like that in my clinic, We do things differently based on people's needs, right? So advice that's general might not always be right for you. But if we have something that's so triggering too and brings up deep-seated fear, we need to work on that. We need to work on that.
And honestly, we might need to do it outside of our office. And it's working with a therapist to kind of unwind some of that behavior and thinking.
Did you think your career would bring you here? Because I know you're a big advocate for these weight loss drugs.
I think I always hoped for it. You know, I have been standing on a very lonely soapbox for a long time shouting from the rooftops that we had medications that could help people treat disease. I am here because I come from a family of women who carry excess weight significantly. And the conversations growing up, I was very, very loved. And I had two grandmothers who... Oh mein Gott.
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Chapter 4: How do GLP-1 drugs interact with menopause?
Also GLP-1s reduzieren Inflammation. Wie hilft das einem Frauen mit Perimenopause oder Menopause? Denn das ist ein Wort, das wir oft hören.
Ja, und ich würde sagen, dass die Studien für eine Beleuchtung davon, ein bisschen lecker sind. The GLP-1 medication affects cascades that really do bring down inflammation. And people will tell you all the time, they just feel less inflamed. And you'll say, well, what does that mean? My joints hurt less. My body hurts less. I feel less. I feel more like myself.
And when I say inflammation too, well, inflammation comes from blood sugar oftentimes. And that's what drives heart disease and 16 types of cancer and diabetes. Dementia. So we will, I believe, in about 10 years time have the studies that tell us actually this lowering of inflammation is preventing dementia.
You know, I don't want to put anything out there that all my colleagues will say, don't say it yet, but this is what we are kind of predicting that we will see.
But that's what we're doing as advocates in fighting for these research dollars because it can't be done. I mean, I know we need time. I know we need time because we have to have time to do that, but we need that research done. Especially with the access. Okay, so we got an email from Sarah in Boston, 53 years old, and shared this. I gained 15 pounds during menopause. Nothing seems to work.
I'm exhausted. My joints hurt. I don't even know where to start anymore. Do I just accept it or is there something I'm missing from all of this? I can't tell you how many, change the age, change the name, the same question over and over again. What advice do you give somebody like this?
You got to find the right doctor. It's really hard, but I think a whole evaluation from top to bottom, inside and out, is necessary. There is some work with the menopause transition that does need to be done that can't be fixed. mit irgendwelchen Medikamenten. Und ich weiß, dass wir alle das wissen. Aber das sollte nicht die einzige Antwort sein, die man sich gibt.
Also, alles von Schlafen bis zur Nahrung bis hin zum Gym zu gehen und du machst all diese Dinge, dann ist es Zeit, über Medikamente zu denken. Ja.
Ja, und ich denke, das ist schwer, weil ich denke, dass das eine Part ist, wo jemand denkt, bin ich schwach, weil ich es einfach nicht kann, weil ich einfach nicht das Superhelden bin. Nein. Advice to your younger self. If you had to give yourself some advice, your younger self, what would that be?
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