The Obesity Doctor Podcast copertina

The Obesity Doctor Podcast

The Obesity Doctor Podcast

Di: Dr. Sasha High
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Weight, health, and metabolism — without extremes or oversimplification. Hosted by Internal Medicine and Obesity Physician Dr. Sasha High, this podcast explores the biology of weight, the reality of behaviour change, and the nuance often missing from mainstream conversations. From GLP1 medications to emotional eating, from metabolic health to mindset, you'll get practical, evidence-based insights without extremes or oversimplification. This podcast is for those who want to understand their bodies, make sustainable changes, and build health that lasts. FOLLOW Instagram - https://www.instagram.com/sashahighmd/ WORK WITH ME Obesity Medicine Clinic in Ontario, Canada - https://www.highmetabolicclinic.com Best Weight for Women - https://www.sashahighmd.com/bestweight Recover Strong for Binge Eating - https://www.sashahighmd.com/bed Disturbo fisico e malattia Igiene e vita sana
  • 196. The Weekend Trap: Why Your Weekends Are Sabotaging Your Weight Loss
    Oct 12 2026

    Why does staying on track with weight loss often feel so much easier during the week, only to become more challenging once Friday afternoon rolls around?

    In this episode, Tedi Glik, RD will break down what the “weekend effect” is, and how the way we approach food from Friday through Sunday can influence overall weight-loss progress. With more social events, meals out, brunches, alcohol, and time with family and friends, the weekend naturally looks different—but that doesn’t mean it needs to become a completely different eating pattern.

    We will talk about planning for indulgences rather than thinking in terms of “cheat meals.” The goal isn’t to eliminate the foods you enjoy, but to be more intentional about which foods and experiences are actually worth it to you. Whether that’s a favorite dessert, a croissant, or a glass of wine with friends, there’s a way to incorporate enjoyable foods while still building meals that are satisfying and supportive of your goals.

    We will also explore some of the thoughts that can drive weekend eating, including “I’ve been good all week, so I deserve to enjoy myself,” “I don’t want to think about food on the weekend,” and “I’ll just start again on Monday.” Sometimes the biggest shift isn’t changing what we eat, but changing the way we think about the weekend. Planning doesn’t have to mean restriction—it can actually create more freedom by reducing the number of food decisions you have to make.

    Ultimately, you don’t need to choose between losing weight and enjoying your life. The goal is to learn how to do both, and make your weekend part of the plan!

    MEDICAL PROGRAM FOR OBESITY

    O​​ntario-Wide Virtual Obesity Management Clinic
    https://www.highmetabolicclinic.com

    Join my Health & Consistency Coaching Program for women, Best Weight https://www.sashahighmd.com/bestweight

    Recover Strong for Binge Eating
    https://www.sashahighmd.com/bed

    Taking the first step toward weight loss can feel overwhelming — but you don’t have to do it alone. I’ve created a curated list of my podcast episodes to gently guide you as you begin your journey. https://www.sashahighmd.com/podcast-guide

    FOLLOW SASHA
    Instagram
    https://www.instagram.com/sashahighmd/

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    21 min
  • 195. GLP-1 Maintenance: What Do We Actually Know?
    Oct 5 2026

    What happens after you’ve lost the weight you wanted to lose?

    In this episode, I’m looking at what we actually know about maintaining weight loss with GLP-1–based medications. The evidence so far suggests that for most people, continuing treatment at the dose that produced their weight loss provides the best chance of maintaining that weight loss and its associated health benefits.

    But what if staying on the same dose isn’t possible because of side effects, cost, access, or personal preference?

    I break down what we’re learning from SURMOUNT-MAINTAIN and ATTAIN-MAINTAIN, including evidence that reducing tirzepatide to a lower dose or switching from injectable semaglutide or tirzepatide to oral orforglipron can preserve substantially more of the weight loss achieved than stopping treatment altogether.

    We still have important questions about tapering, extending dosing intervals, and whether some people can eventually come off treatment successfully. But for now, the evidence suggests that if we need to reduce treatment intensity, maintaining some active treatment may be a much better strategy than simply stopping and waiting to see what happens.

    Ultimately, maintenance is about finding the level of treatment that allows an individual to maintain the health benefits they’ve achieved—while recognizing that for many people with chronic obesity, ongoing treatment at their effective dose will be necessary.

    MEDICAL PROGRAM FOR OBESITY

    O​​ntario-Wide Virtual Obesity Management Clinic
    https://www.highmetabolicclinic.com

    Join my Health & Consistency Coaching Program for women, Best Weight https://www.sashahighmd.com/bestweight

    Recover Strong for Binge Eating
    https://www.sashahighmd.com/bed

    Taking the first step toward weight loss can feel overwhelming — but you don’t have to do it alone. I’ve created a curated list of my podcast episodes to gently guide you as you begin your journey.
    https://www.sashahighmd.com/podcast-guide

    FOLLOW SASHA
    Instagram - https://www.instagram.com/sashahighmd/

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    29 min
  • 194. Building an Obesity Medicine Practice, Clinical Insights, and Lessons Learned with Dr. Tasneem Sajwani
    Sep 28 2026

    In this episode, I sit down with Dr. Tasneem Sajwani, Medical Director of the Edmonton Weight Management Centre, for a behind-the-scenes look at the world of obesity medicine. We discuss how she found her passion for this field, the challenges and rewards of building a successful obesity medicine clinic, and the key elements that drive long-term patient success.

    We also explore the critical role of allied health professionals, lessons learned from years in practice, and practical clinical pearls that patients can apply to their own health journeys. Whether you're a healthcare professional or someone interested in understanding obesity treatment more deeply, this conversation offers valuable insights into the science, systems, and support that make effective obesity care possible.

    Find Dr. Tasneem Sajwani’s practice in Edmonton, Alberta, here: https://www.ewmc.info/

    Find Dr. Sasha High’s practice in Ontario here: www.highmetabolicclinic.com

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    39 min
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