Health & Fitness
**The Obesity Guide with Matthea Rentea MD**

Matthea Rentea MD leads discussions on obesity and chronic weight management. Her guests range from experts in the fields that intersect with obesity and wellness, to individuals successful in their weight journey. She is a Board certified Internal Medicine and Diplomate of the American Board of Obesity Medicine and founder of the Rentea Metabolic Clinic, a Telehealth clinic for residents of the state of Indiana and Illinois that helps comprehensively with weight management. This podcast is for information and education purposes only. No medical advice is being given. Please talk to your physician for what is right for you.

Latest Episodes:

No More Broken Resolutions: 2 Powerful Strategies for Building Habits That Last Dec 30, 2024

Show notes

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As January 1st looms, millions of people are gearing up to make New Year's resolutions, but here’s the sad reality: 90% of people abandon their goals by February, and only 8% actually follow through until the end of the year. So why does the typical grand proclamation—like “Sure, I’ll go to the gym every day”— so often flop?

The problem is, it’s unrealistic and unsustainable. But don’t panic, there IS a better way. In this episode, I share a simpler, more effective approach that’s not only easier to stick to, but also way more successful in the long run. Ready to make this the year you actually follow through? Tune in now to discover two top strategies that will help you build lasting habits and set yourself up for success in 2025!
References
Atomic Habits by James Clear
Download Dr. Rentea’s Power Picks For Metabolic Health
Audio Stamps
00:44 - Most New Year's resolutions fail quickly, making big goals less effective.
02:40 - Building identity-based habits that align with who you want to become is more sustainable long term.
04:16 - Dr. Rentea gives personal examples of identity-based habits that have worked for her.
06:27 - We learn the power of small, easy "1 percent upgrades" for lasting progress.

08:25 - Dr. Rentea encourages writing down three identity-based goals and the 1% upgrades that will help you consistently work toward them every day.
Quotes
“I want to recommend that you work on building different systems and habits and not making grand proclamations.”
“I want you to think about, ‘Who do I want to actually be this year?’”
“Identity-based habits are going to keep you congruent with who you are and your chance of actually executing them goes through the roof.”
“Things cannot be painful. They need to be easy. They need to be pleasurable. That's how we're programmed as humans. If we don't do things that are in alignment with that, we don't stick with it.”
“Every day you get to vote for the person that you want to be.”

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Jamie Mills , RDN, CD-N (aka “The Sleeved Dietitian”) on Breaking Plateaus and Maximizing Nutrition After Bariatric Surgery Dec 23, 2024

Show notes

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Despite what anyone says, bariatric surgery is NOT the easy way out. Much like GLP-1 medications, it’s just a tool. To truly succeed, you need a full toolbelt—one that helps you overcome restriction, food guilt, fear of failure, and the uncertainty of how to eat post-surgery. The good news? You don’t have to navigate it alone. With the right education, support, and resources, you can create the post-op life you’ve always dreamed of.

In this episode, Jamie Mills, aka The Sleeved Dietitian, shares her inspiring journey of overcoming PCOS, a lifelong struggle with weight, and how bariatric surgery helped her achieve lasting change. After undergoing VSG in 2017, Jamie lost over 135 lbs and gained a new life, but she quickly realized that post-op support was seriously lacking. Now, as an award-winning registered dietitian nutritionist, Jamie is closing that gap and empowering women to thrive after surgery.

Listen in to hear Jamie’s top protein hacks for busy people, her secret to busting through plateaus (spoiler: it’s about adding more, not less!), and why the restrictive post-op diet isn’t meant to last forever. She explains how to transition into a sustainable way of eating while embracing empathy and understanding throughout the weight loss journey.

References

Connect with Jamie:

Website: https://thesleeveddietitian.com/

(Use code “drmatthea” for $20 off the $99/month TRIBE membership program)

Instagram: @thesleeveddietitian

Tiktok: @thesleeveddietitian

Book: The Easy Way Out: Why Bariatrics Isn't Cheating Obesity, It's Treating It

Audio Stamps

01:27 - Dr. Rentea's guest, Jamie Mills, also known as “The Sleeved Dietitian”, shares her background as a registered dietitian specializing in bariatrics.

05:30 - We hear some of the top nutritional challenges that patients face after weight loss surgery.

12:35 - Jamie shares her best protein suggestions, highlighting quick, high-quality options to help patients meet their nutritional needs.

15:35 - Jamie emphasizes that meal planning doesn't have to be complicated or time-consuming and shares simple, prep-ahead options for busy people.

21:27 - Jamie shares her secret to busting a plateau and reminds us that the goal isn’t always about losing weight.

30:35 - Losing weight isn’t the magic fix—it takes compassion, support, and inner work to tackle the deeper struggles that stick around, even when the weight is gone.

35:40 - Jamie and Dr. Rentea highlight the need for empathy and understanding in the weight loss journey, emphasizing that obesity is a chronic disease, not a failure

37:55 - Jamie discusses the backlash and judgment faced when openly sharing about starting GLP-1 medication, particularly from within the bariatric community.

Quotes

These are all from Jamie:

“What I realized through having weight loss surgery was there's just not a lot of support, especially for post bariatrics.”

“I felt this immense amount of shame and almost like a hypocrite because of what society had told us about [bariatric surgery] being this cheat, this easy way out.”

“I remember thinking, ‘I have a degree in nutrition and I am struggling. How in the world is anyone who doesn't have a background in this figuring this out?’”

“Obesity is a very complex disease. It's k

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“Nature’s Ozempic”: Miracle or Marketing Myth? Dec 16, 2024

Show notes

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If you're on social media, you're likely familiar with the constant stream of ads for weight loss products and health supplements promising quick fixes. In this episode, I tackle a listener's concerns about plant-based peptides claiming to rival GLP-1 medications, breaking down how to tell the difference between legitimate, science-backed treatments and predatory scams targeting those struggling with obesity. Learn how to spot red flags, make informed choices, and build a health team that genuinely supports your goals.

Plus, with the holiday season in full swing, I'll share simple, effective strategies to break the stress cycle and find moments of calm amid the chaos. Tune in for expert tips on cutting through the noise, making empowered decisions, and enjoying a stress-free holiday season!
References
View all of Dr. Rentea’s podcast resources here: https://www.renteaclinic.com/blog
Burnout and How to Complete the Stress Cycle - Unlocking Us with Brené Brown
Burnout: The Secret to Unlocking the Stress Cycle by Emily Nagoski and Amelia Nagoski
Mini Course: The Top 5 Mistakes That People Make When Starting a GLP 1
7 ways to break the stress cycle:

Exercise
Deep breathing
Positive social interaction
Laughter
Affection
Crying
Creative expression

Audio Stamps
00:28 - With holiday stress in full swing, Dr. Rentea shares seven insights from Drs. Emily and Amelia Nagoski on how to complete the stress cycle and manage stress effectively.
08:20 - Dr. Rentea explains how her mini course, The Top 5 Mistakes People Make When Starting a GLP 1, can help at any stage of your health journey.
11:54 - Dr. Rentea dives into a listener question about the rise of weight-loss claims around supplements and "plant-based peptides" marketed to mimic GLP-1 medications.
18:30 - Choosing the right health program or support group is deeply personal, and it's essential to choose one that feels supportive, aligns with your needs, and involves collaborative guidance from trusted professionals.

Quotes
“You need to turn to people that you trust that are helping you with your medical care and get their thoughts.”
“Talk to your doctor. That's the reason we exist. It's to help you navigate this stuff.”
“When you have a chronic medical condition, it's very socially isolating. You feel very alone. It can lead to a lot of shame and depression. And oftentimes, being in a group can be very helpful.”

Join The Next Chapter, a five-month experience to make space for your health, work toward a meaningful goal, and have some fun along the way—get the details and enroll here by October 30th.

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Behind the Scenes of Steady Progress: How Meg Found Lasting Health Dec 09, 2024

Show notes

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We all hear the success stories, but what we rarely get to see is the journey behind them—the small tweaks and big mindset shifts that make lasting health changes possible. In today’s episode, we have the amazing Meg, a current patient of mine, who’s been on an incredible journey over the past year. Meg was already healthy, but she’s gone above and beyond to maintain her muscle, tweak her routine, and keep pushing forward. It’s not just about losing weight—it’s about maintaining and improving health for the long haul.

Meg shares her firsthand experience on what’s truly been a game changer for her: the powerful role of protein and fiber in her diet, and how small changes have made a big difference in her progress. She discusses the importance of maintaining muscle mass, especially as we age, and the mindset shift necessary to stay consistent, even when progress feels slow.

Tune in for an honest, down-to-earth conversation filled with practical tips from Meg’s journey, like how to balance your nutrition and workouts for sustainable results, and why focusing on the long-term picture really makes all the difference.
References
hardCORE On The Floor
InBody Scale
Audio Stamps
01:20 - Dr. Rentea’s patient, Meg, shares her background and explains how she found Dr. Rentea's practice during a time of personal struggle.
06:07 - Meg explains how focusing on protein and fiber intake has transformed her approach to nutrition, making it more sustainable.
14:55 - We hear the importance of patience and consistency, reminding us that progress, even when it’s slow, is still progress.
17:45 - Meg highlights the importance of tracking muscle mass, not just weight, using tools like the InBody scale, to ensure long-term health and maintain muscle, especially as we age.
22:18 - Meg shares her top tips for those looking to begin or stay on track with their journey.
Quotes
“Especially after menopause hit, I was hungry constantly and no matter how much I ate, I just never seemed to be satisfied.” - Meg
"When our physiology is off, it doesn’t matter how much knowledge we have in our head—we can’t overcome it." - Dr. Rentea
“You have to find a pattern of living that works for you.” - Meg
“One of the things I think about is how I'll feel if I don't exercise. And so in the morning, I might grumble for a second, but I always think of that post exercise feeling.” - Meg
“If you're out there listening and you're not doing anything, imagine if you thought, ‘Hey, can I do 30 minutes once a week?’, you will get places. You will.” - Dr. Rentea
“I have done it all ways but Sunday to lose weight. And this is working. Protein and fiber.” - Meg

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Semaglutide & Tirzepatide: Revolutionizing Obesity Treatment Beyond the Scale Dec 02, 2024

Show notes

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I recently tuned into a podcast with Jillian Michaels—the trainer from The Biggest Loser (possibly one of the most problematic shows to ever grace TV). I listened as she doubled down on the same old narrative: weight loss is all about motivation, eating less, and moving more. It was frustrating, especially because two respected physicians in the obesity medicine community were trying to bring a more evidence-based approach to the conversation, but it was falling on deaf ears.

As research continues to reveal, chronic obesity is a complex condition that differs significantly from simple weight management. It’s clear that it’s time to move beyond these outdated beliefs and focus on the science shaping our understanding of obesity today. In this episode, we'll explore the latest scientific research on obesity, including how metabolic and hormonal responses to weight loss differ for those with chronic obesity, as well as the benefits of GLP-1s and GIPs that go far beyond weight loss alone.
References
Hinte, L.C., Castellano-Castillo, D., Ghosh, A. et al. Adipose tissue retains an epigenetic memory of obesity after weight loss. Nature (2024).
Audio Stamps
02:38 - Dr. Rentea critiques Jillian Michaels’ outdated stance on obesity as a chronic condition, and emphasizes the importance of evolving with current science in understanding obesity and its treatments.
07:56 - Dr. Rentea discusses the growing body of evidence showing that GLP-1 medications offer numerous health benefits beyond weight loss, including improvements in various metabolic and cardiovascular conditions.
10:49 - We learn how GLP-1 medications help protect the cardiac system by improving endothelial function, reducing blood pressure, and lowering inflammation and cholesterol.
13:20 - It’s becoming increasingly difficult to ignore the wide-ranging health improvements these medications offer beyond just weight loss.

Quotes
“I believe radically different right now than what I did five, six years ago. Every single year I'm learning new things.”
“The biggest question I always get asked from people is, ‘When I lose the weight, am I good? Can I then just go on with my life?’ and I always say, ‘It's a chronic medical condition, meaning it's there for life. We can manage it, we don't have a cure.’”
“It's been an explosion recently of updates from long term trials and new trials that are showing ever increasing benefits of GLP-1s and GIPs.”
“It's never been about shapeshifting. It's never been about what size you are. It's really always about health. And this is a hard shift because most people are just obsessed with what the scale number is.”

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New Findings for Tirzepatide Users: Why the Start of Your Weight Loss Journey Matters Nov 25, 2024

Show notes

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At a recent business conference, there was one quote that really struck me: "Your biggest competitor is always the status quo." This idea hit home because it applies so much to our health—the status quo is what keeps us stuck in old patterns, and unless we actively work to change, we’ll stay right where we are.

In today’s episode, I’ll be sharing the strategies I use with my patients to break free from that cycle, from habit stacking to small, achievable steps that lead to big results. Plus, I’ll dive into the fascinating findings from the Surmount trial on tirzepatide, which offer encouraging news for those who may not experience rapid weight loss at first. If you’re ready to take charge of your health and move beyond the status quo, this episode is for you!
References
The Top 5 Mistakes That People Make When Starting a GLP-1
Audio Stamps
00:38 - Dr. Rentea highlights the status quo as a key barrier to progress in both health and business, stressing the need to challenge it for meaningful change.
03:18 - Using habit stacking and 1% upgrades help Dr. Rentea’s patients break free from ruts and challenge the status quo in their health routines.

05:00 - We learn the findings from the Surmount trial on early weight loss responses to tirzepatide.
08:35 - Dr. Rentea highlights that weight loss varies for everyone and stresses the importance of focusing on health improvements over quick results.
10:53 - Dr. Rentea shares her mini course on GLP-1 use, offering resources, recipes, and live Q&A calls, with a Black Friday special that includes the Blood Sugar Mastermind as a bonus!
Quotes
“The biggest competitor is always the status quo.”
“To say, ‘The status quo of how I'm doing it might not be optimal, I want to do it a different way’ requires a huge amount of energy and a huge amount of thought process change.”
“The status quo wins unless you really work on these things.”
“The same things usually run on autopilot. To get out of it is going to take some effort, some intentionality, setting some goals differently, making reminders…there's going to have to be something that breaks that for you.”
“Everyone has this fallacy of, ‘I need to lose this big percentage’ all the time.’”
“I have a patient that is losing about two pounds per month, has done this over a two year period, and is just getting absolutely incredible results.”

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When to Indulge, When to Skip: Your Guide to Smart Holiday Eating Nov 18, 2024

Show notes

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As the holiday season draws near, it's a time of excitement, connection, and celebration—but it also comes with its own set of challenges, especially when you’re trying to prioritize your health. Between family gatherings, changes in routine, and an abundance of food, finding balance can feel more difficult than ever. But it doesn’t have to be that way.

In this episode, I share three practical tips to help you stay on track with your health during the holiday season—or any time of year when food is plentiful and routines are disrupted. These strategies are ones I’ve learned over the years, and I hope they’ll be just as helpful for you. My goal is for you to fully enjoy the season while making simple, intentional choices that support your health. Whether you’re navigating a family holiday or any event with lots of food, these tips will help you feel confident and in control.
References
Ep. 89: No, It’s Not Okay to Comment on My Weight (+ How to Respond When It Happens)
Audio Stamps
00:53 - This episode isn’t just for the holidays—it’s for any occasion where food is plentiful, helping you stay mindful and in control.

01:44 - Dr. Rentea reminds us that we have the choice to respond to triggering comments in a way that feels right for us and shares a listener's thoughtful alternative.

03:23 - Tip #1 for the holidays: Identifying small ways to regain control.
06:07 - Tip #2 for the holidays: How to decide what’s truly 'worth it' for you when it comes to holiday foods.

08:35 - Tip #3: ‘Planning for magic’ by including foods that make you feel great throughout the day.

09:04 - Dr. Rentea recommends focusing on one or two simple habits to help you feel great during the holidays.

11:12 - Dr. Rentea shares how the holiday season is a time of gratitude for her, and takes a moment to thank her listeners, coaching clients, and clinic community.
Quotes
“It's important for us to remember that we always have some level of control.”
“The two things that I always do, no matter what, no matter where I am, I take a walk in the morning and I drink my water.”
“What are the things that actually move the needle the most for me daily? Usually it's only one or two that if you do those things, you're still going to be set. And there's no reason why, on a holiday day, you still can't get those things done.”
“I want you to plan for magic.”
“Whenever we head into the holiday time, it’s really a time of gratitude for me.”

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Intermittent Fasting: Health Hack or Just Another Diet Craze? Nov 11, 2024

Show notes

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As more people explore new approaches to health and weight management, intermittent fasting has become a popular option. From time-restricted eating to alternate-day fasting, the idea seems simple enough: limit eating to a set window, and you’ll likely eat less overall. But for many—especially those dealing with Binge Eating Disorder (BED) or binge tendencies—the reality often looks quite different.

If it hasn’t worked for you, it’s not you who failed; it’s the method that’s failed you. In this episode, I’m diving into when and why intermittent fasting can fall short. Tune in to learn why it may not be the best choice for everyone—and discover more balanced, sustainable ways to nourish your body and find peace with food.
References
The Top 5 Mistakes That People Make When Starting a GLP-1
Audio Stamps
00:29 - Dr. Rentea explains what intermittent fasting is and how she sees it backfire for those with binge eating tendencies.
03:14 - While some feel energized by intermittent fasting, it often leads to unhealthy eating patterns and poor results.

09:33 - The ‘all-or-nothing’ mindset can lead to stricter eating patterns, like shifting from 16:8 fasting to alternate-day fasting, causing a loss of control on eating days.
12:58 - Dr. Rentea encourages you to assess whether your current eating strategy feels sustainable and beneficial.
Quotes
“If you are someone that at times really wants to eat larger quantities of food and you might have an ‘all-or-nothing’ side of you where you go from ‘I have to eat perfectly’ and then ‘I want to eat all the things’, intermittent fasting is not going to be your friend.”
“One of the biggest things that I work on when people have binge eating disorder, it's creating balance throughout the day for them so that their blood sugars can stay stable.”
“The best thing that's ever going to happen to some of you is just going to be to have cookies every day.”
“The goal is not zero. The goal is less often, and the goal is that you have a plan for what to do afterward. A lot of you have no aftercare plan for when you have a binge, and that is the thing that's killing you.”
“The most loving thing you can do after a binge the next day is to just go ahead and have your normal breakfast.”
“Be willing to change it up as often as you need to, to keep figuring out what works, to keep getting yourself results, to be willing to change things up at different stages in your life.”
“The cliff that every woman falls off is during perimenopause and menopause. What worked before doesn't work anymore.”

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Reclaiming Your Health Journey: The Danger of Glorifying Unrealistic Results Nov 04, 2024

Show notes

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In my work, I’m always supporting people on their journey to better metabolic health, and it’s fascinating how new themes emerge each week. This week, I noticed many patients getting caught up in what I call the “vocal minority.” These are the people who share their extreme results with medications—often loudly and visibly—leading others to feel like their own experiences are "less than." This comparison can leave them discouraged and dissatisfied with their progress, as they measure themselves against these atypical stories.

In this episode, I discuss how comparing ourselves to the vocal minority can derail our progress. Instead of fixating on extreme results, I invite you to focus on your unique health journey. I'll share real patient stories that highlight steady, meaningful progress and offer practical strategies for setting realistic expectations and achieving attainable goals. Tune in for tips on shifting your mindset, empowering your health journey, and surrounding yourself with positive influences. Don’t let the noise drown out your success—join me to discover how to prioritize what truly matters!
References
Body Weight Percentage Reduction = (Weight Lost ÷ Starting Weight) × 100
Audio Stamps
00:30 - Dr. Rentea urges listeners to focus on their unique health journeys rather than comparing themselves to the few with extreme, atypical results.

03:52 - Dr. Rentea reflects on a patient’s steady progress, emphasizing the importance of focusing on real, personal health gains instead of comparing to unrealistic portrayals online.

06:40 - Dr. Rentea shares data on weight loss expectations with certain medications, urging patients to focus on realistic, evidence-based goals and consult their physician to track healthy progress.
09:45 - We learn how successful patients adapt to their health journeys by creating practical solutions, staying flexible, and continuously finding ways to incorporate healthy habits into their busy lives.

14:55 - We hear Dr. Rentea’s top tip for stopping comparison from weighing you down and affecting progress.
21:20 - Dr. Rentea shares an update about the January round of The 30/30 Program.
Quotes
“Comparison is just the biggest killer.”
“They get so much attention. They are so vocal. Yet they are the minority.”
“Why am I obsessed with you not comparing? Because you lose sight of all the amazing things you can do for yourself.”
“If you have achieved a total of a 5 percent body weight reduction, it is working for you.”
“I would really recommend over time that instead of looking at pounds lost, you look at total body weight loss percentage.”
“There is no, ‘I hit the jackpot, get the answer, and then never again have to think about this.’”
“Stop following people that make you feel horrible about yourself. You should feel uplifted with who you're following.”

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Why Are Americans Paying More for GLP-1s? Exploring the Senate Hearing and the Fight for Affordability with Kim Carlos Oct 28, 2024

Show notes

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Are you frustrated with the sky-high costs of GLP-1 medications in the U.S.? You’re not alone. While many countries offer these life-changing treatments at a fraction of the price, Americans are left grappling with hefty out-of-pocket expenses that can hinder their ability to live healthy, fulfilling lives. In this episode, we sit down with Kim Carlos, host of the Plus SideZ podcast, who is on a mission to change that.

Kim opens up about her lifelong battle with weight and the impactful experience that motivated her to travel to Washington, D.C., and advocate for affordable access to GLP-1s at a Senate HELP Committee hearing. Tune in to learn how you can get loud, be part of the movement for accessible healthcare, and join the conversation to make a difference!
References
ABC Nightline Interview

Vote for Anthem Awards by Oct 31st!

The Plus SideZ: Cracking the Obesity Code selected in Health - Best Influencer Collaboration: View Anthem Community Voice Category
The Plus SideZ: Cracking the Obesity Code selected in Health - Community Space: View Anthem Community Voice Category

Podcast:

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Audio Stamps
01:39 - Today’s guest, Kim Carlos, host of “The Plus SideZ” podcast, shares her personal struggles with weight since childhood and the life-changing impact of GLP-1 medications in managing her condition.
21:35 - Kim highlights Bernie Sanders' acknowledgment of obesity's burden on the healthcare system, praises GLP-1 meds for reversing obesity rates, and advocates for wider access.
36:15 - Kim highlights the need for community engagement in addressing obesity as a chronic condition and encourages sharing resources to challenge misconceptions about medication accessibility.
Quotes
“Why is the United States paying so much for medication and the rest of the world is not?” - Kim Carlos
“I don't feel like in society or in the media we are hearing a lot of language outside of our doctors and creators on Tik TOK, that obesity is a disease. It is a chronic disease. There's no cure for it.” - Kim Carlos
“Right now, diet culture is dying a beautiful death. And I love it because there are actual solutions to these problems now, and there haven't been before. I just want everybody to have access.” - Kim Carlos

Join The Next Chapter, a five-month experience to make space for your health, work toward a meaningful goal, and have some fun along the way—get the details and enroll here by October 30th.