Weight Is Biology, Not Willpower: The Truth About Ozempic, GLP-1s and Women's Health
Tue Jan 27 2026
Dr. Alexandra Sowa is a board-certified internal medicine physician who has specialized exclusively in obesity medicine for over 10 years. She is the author of The Ozempic Revolution and a leading voice challenging weight stigma and misinformation around GLP-1 medications.
Today, Dr. Sowa joins me to break down what GLP-1 medications actually are, how they work in the body, and the real cause of obesity (it’s not about willpower).
We dive into the deep harm caused by weight bias in medicine, including personal stories from Dr. Sowa’s experience as a pregnant physician and how those moments shaped the way she now cares for patients.
Dr. Sowa explains what people truly need to succeed on GLP-1s, and the truth about common fears like “Ozempic face,” loose skin, and rapid weight loss. She shares clear, practical guidance on how to lose weight safely, preserve muscle health, and avoid shame.
Our conversation covers why people experience grief, identity shifts, or resurfaced trauma after losing weight, and how to deal with these emotions. We also talk about food obsession and overcoming the mental burden of constant food tracking and planning.
Join us today as we dive into GLP-1s, women’s cardiovascular health, the mental load of dieting, how to heal your relationship with the scale, why weight is not a moral failure, and how to get the support your body needs.
Dr. Alexandra Sowa's Links:
https://www.instagram.com/alexandrasowamd/?hl=en
https://www.linkedin.com/in/alexandra-sowa-md-ma-50606813
https://alexandrasowamd.com/
Dr Somi Javaid's Links:
https://www.linkedin.com/in/somi-javaid
https://www.drsomi.com/
Personalized menopause and sexual health care, longer visits, trusted experts, all from home: https://www.HerMD.com
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Dr. Alexandra Sowa is a board-certified internal medicine physician who has specialized exclusively in obesity medicine for over 10 years. She is the author of The Ozempic Revolution and a leading voice challenging weight stigma and misinformation around GLP-1 medications. Today, Dr. Sowa joins me to break down what GLP-1 medications actually are, how they work in the body, and the real cause of obesity (it’s not about willpower). We dive into the deep harm caused by weight bias in medicine, including personal stories from Dr. Sowa’s experience as a pregnant physician and how those moments shaped the way she now cares for patients. Dr. Sowa explains what people truly need to succeed on GLP-1s, and the truth about common fears like “Ozempic face,” loose skin, and rapid weight loss. She shares clear, practical guidance on how to lose weight safely, preserve muscle health, and avoid shame. Our conversation covers why people experience grief, identity shifts, or resurfaced trauma after losing weight, and how to deal with these emotions. We also talk about food obsession and overcoming the mental burden of constant food tracking and planning. Join us today as we dive into GLP-1s, women’s cardiovascular health, the mental load of dieting, how to heal your relationship with the scale, why weight is not a moral failure, and how to get the support your body needs. Dr. Alexandra Sowa's Links: https://www.instagram.com/alexandrasowamd/?hl=en https://www.linkedin.com/in/alexandra-sowa-md-ma-50606813 https://alexandrasowamd.com/ Dr Somi Javaid's Links: https://www.linkedin.com/in/somi-javaid https://www.drsomi.com/ Personalized menopause and sexual health care, longer visits, trusted experts, all from home: https://www.HerMD.com