The Real Talk on Weight Loss Meds

Let’s be real—most people who start their weight loss journey want results yesterday. I get it. You’ve been carrying those extra 20 pounds for what feels like forever, and once you decide to do something about it, you want to see the scale move. Fast. But here’s the thing: that mindset is exactly what sets so many people up for disappointment.

I have a love-hate relationship with weight loss medications—not because they don’t work, but because of the expectations people bring to the table.

We live in a world where the marketing of “quick fixes” is everywhere. So when someone hears about a new medication, they think, “Great! I’ll lose 10 pounds this month, stay on it for three months, and I’ll be done.” But that’s not how it works. That’s not the reality.

Everyone’s Body Is Different

There are so many factors at play—metabolism, hormones, menopause, existing medical conditions, how much weight someone actually needs to lose. If someone is morbidly obese and needs to lose 60, 80, or even 100 pounds, it’s simply not realistic—or healthy—to try to do that in three or four months.

And even more important: It’s not just about losing weight.

It’s about how you lose it. Losing fat while preserving muscle is crucial. Muscle is what helps you stay strong, balanced, and injury-free as you age. If you lose muscle mass, you increase your risk of falling, breaking a bone, or facing long-term health issues. Muscle is longevity.

The Scale Isn’t the Whole Story

Here’s a tough truth: you’re not going to lose weight every single day. In fact, the scale might go up before it goes down. And that can mess with your head if you’re stepping on it daily, expecting a magical drop in numbers.

Please stop weighing yourself every day. Just stop.
It’s not helpful, and it can derail your progress mentally more than you realize. Weight fluctuates—based on hydration, hormones, salt intake, and so much more.

Let Go of the Timeline

I always try to have an honest, heart-to-heart with patients about this. So many people come in with a date in mind—maybe for a wedding, a vacation, or a high school reunion. And while it’s great to have goals, pinning your success to a specific number by a specific date is often a recipe for disappointment.

Instead, what if you just felt it out? Go into this journey with an open mind. Be patient with your body. Ride it out. Don’t rush it. Weight loss drugs can be an incredible tool, but they’re not magic—and they’re not for everyone. You’ve got to give it time. Give it at least six months before deciding if it’s right for you.

In the End, It’s a Journey—Not a Shortcut

If you’re considering weight loss medications, that’s okay. But do it with realistic expectations. Understand that this isn’t just about looking a certain way—it's about supporting your body for the long term, preserving your muscle, and improving your health.

Approach it with grace, patience, and compassion for yourself. The results will come—but not overnight.