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:

Think You're a GLP-1 Non-Responder? Address These Key Issues First Aug 12, 2024

Show notes

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Are you frustrated because your GLP-1 medication isn’t delivering the rapid results other people seem to achieve? It’s common to feel disappointed when your progress falls short of expectations. I know all too well the desire for that “magic” solution where all the challenges of obesity disappear overnight and you can achieve your goals effortlessly. Unfortunately, that’s not the reality for most people.

In this episode, I’ll dive into why some people experience slower results than others and clarify why terms like "non-responders" or "hypo-responders" might not be helpful if you haven't first addressed key lifestyle factors like hydration, protein intake, and sleep. Join me as I break down the numbers for successful weight loss with GLP-1 medications, share real-life insights into medication effectiveness, and offer practical advice on how to make the most out of your GLP-1 medication.
References
The Top 5 Mistakes That People Make When Starting a GLP-1
Ep. 69 - BMI: Proof it Falls Short as a Measure of Health
My Doctor Started Me on a GLP-1: Now What? Spotify Playlist
Audio Stamps
01:44 - Patients often feel frustrated with slow responses to anti-obesity medications because they aren't given clear expectations at the start.
04:00 - When starting GLP-1 medications, aiming for a 5% weight loss in 12 weeks ensures continued insurance coverage and effective results.
08:28 - Dr. Rentea shares the maximum percentage of total body weight to lose per week when starting GLP-1 medications like Wegovy or Ozempic.
10:45 - If you're not losing at least 5% of your body weight in the first 12 weeks on GLP-1 medications, Dr. Rentea advises you to evaluate key areas of your lifestyle and habits to improve results.
14:13 - Dr. Rentea shares an example of how convenient options can help maintain nutritional goals.

Quotes
“A lot of people think that they're going to start and it's just like fireworks and everything's going to be amazing.” - Matthea Rentea MD
“From a weight loss standpoint, on average we're going to look for at least 5 percent total body weight reduction within the first 12 weeks.” - Matthea Rentea MD
“The max percentage that we want you to lose total body weight per week would be 1%.” - Matthea Rentea MD
“We don't need to wait for week 12 to know that there's an alarm going.” - Matthea Rentea MD
“We cannot say that you're a hypo-responder if you're having a bunch of processed food, if you're not hydrating, if you're not moving, if you're not taking your sleep seriously. These things matter.” - Matthea Rentea MD

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.

Not Sure Where to Start With the Podcast? I’ve Got You.

Get my free Podcast Roadmap—a simple guide to help you find the episodes that matter most to your journey. Whether you're on GLP-1s, navigating plateaus, or just starting out, there's something here for you.

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Why Getting Back on Track Feels Hard (And How to Make It Easier) Aug 05, 2024

Show notes

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Today, we’re diving into a topic that hits home for me and many of my patients—getting “back on track.” I’m not a huge fan of this term because it implies everything has gone awry, which often isn’t the case. But there are definitely times throughout the year when certain areas aren't as optimal as they could be, and I need to refocus my efforts.

In this episode, we’ll take a positive psychology approach, encouraging you to focus on the healthy habits you’re still maintaining, even if you have drifted “off the wagon” a little bit. Plus, I’ll share the two essential things you need to do to successfully realign yourself with your goals. (Hint: it’s easier than you think!)
References
Register for The 30/30 Program Now!
Episode 74 - Low-Hanging Fruit: The Key to Breaking Fat Loss Plateaus
Audio Stamps
00:57 - Dr. Rentea shares a listener's review appreciating the podcast's real-world weight loss advice and positivity, which helps listeners mentally get back on track without feeling judged.
03:50 - We learn about the 30-30 Program, a four-week course focused on breaking old habits and embracing change to overcome weight loss plateaus. (Registration is now open, and the course starts on September 1st!)
08:00 - Dr. Rentea reminds us that getting back on track means building on what we've learned, rather than starting over completely.

12:50 - We hear Dr. Rentea’s personal experience of recently getting back on track.

15:36 - Dr. Rentea emphasizes that to get back on track, you need to keep things simple.

22:30 - We discover the power of setting a simple daily goal and using “bumper rails" to keep yourself aligned with your values and assess if your approach is working.
Quotes
“When you're not doing great, your first instinct is to entirely check out.” - Matthea Rentea MD
“The one thing that we just need to drop is that you're starting from the beginning.” - Matthea Rentea MD
“It feels so much better when I'm doing the things that I know really support me and help me.” - Matthea Rentea MD
“You need to keep it simple. You need to allow yourself to be able to actually get these things done.” - Matthea Rentea MD
“If you were to start the practice right now of asking yourself every single day, ‘What is my health goal?’, you would end up in a radically different place in life in a year or two from now.” - Matthea Rentea MD
“What's your bumper rail system that keeps you grounded to your values?” - Matthea Rentea MD
“What is it that's simple and easy for you? The 1 percent upgrades matter, they add up over time, they allow you to start to get back to feeling like you have control.” - Matthea Rentea MD

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.

Not Sure Where to Start With the Podcast? I’ve Got You.

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Stylist Secrets: Mastering Shapewear, “Trouble Zones”, and a Clutter-Free Closet with Lora LaPratt Jul 29, 2024

Show notes

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Do you find yourself feeling uninspired by your closet each morning? You want to look stylish and feel good … but without all the effort? I was in the same position before I was introduced to today’s special guest, personal stylist Lora LaPratt. Like many of you, I believed a stylist wouldn’t be able to help someone in a larger body. But those assumptions could be holding you back from looking and, most importantly, FEELING amazing in your own style.

My goal with this podcast is to empower you to move beyond size and understand that your worth isn’t defined by it. That’s why I’m thrilled to welcome Lora to today’s show, to share her expert insights into creating a wardrobe that makes you feel confident and comfortable. Lora is committed to getting to know her clients personally and helping them express their unique style based on their interests, body shape, coloring, and lifestyle. She believes that comfort and happiness are the keys to great outfits, and she’s a big fan of high rise trousers! Ready to upgrade your closet game? Let’s dig in!
References

Follow Lora on Instagram

Visit Lora’s Website

@the.minimal.mom

Jockey shapewear
Audio Stamps
02:27 - Lora LaPratt shares her background as a personal stylist, helping clients of all sizes and budgets feel confident and their best every day.
06:45 - Dr. Rentea asks Lora what people should look for in a stylist to ensure they have a positive experience.

12:00 - Lora discusses her approach when clients are on a weight loss journey but are unsure about investing in themselves as their size might change.

15:09 - Lora shares the three most common trouble zones people face—stomach, arms, and thighs/hips—and offers tips for how to navigate these challenges.
23:15 - We hear Lora’s thoughts on Spanx and shapewear.
34:55 - We hear about Lora’s process for getting rid of clothes.
41:43 - Dr. Rentea explains how Lora transformed her travel experience by creating a personalized lookbook with outfit ideas.
Quotes
“It is overwhelming. And I take all of that scary stress out of it and just make it a really fun, enjoyable, but also renewing. I always say it's like a workout mentally and physically.” - Lora LaPratt
“My advice is to dress for the body that you have now.” - Lora LaPratt
“It is mind blowing how dressing correctly for your body, you can look in the mirror and look like you instantly lost 20, 30, 40 pounds.” - Lora LaPratt
“When it comes to the stomach area, which is everyone's biggest issue, the trend of high rise is such a game-changer for so many people.” - Lora LaPratt
“One of the biggest takeaways for most of my clients is to remember that you want to accentuate your thinnest points and not your widest points.” - Lora LaPratt
“Confidence and comfort are the best outfit makers.” - Lora LaPratt
“If there are items that are just sitting in your closet taking up space, there is no way that's not creating angst and anxiety and stress when you're looking in your closet every day.” - Lora LaPratt

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.

Not Sure Where to Start With the Podcast? I’ve Got You.

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Mastering Maintenance: 3 Strategies for Long-Term Success Jul 22, 2024

Show notes

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We've all heard the saying, "Losing weight is easy, but keeping it off is hard," and it can feel pretty discouraging. If you've put in the hard work to transform your body and mindset, you might be worrying about how to tackle the maintenance phase. Should I stop or decrease my medication? What changes should I make to my routine?

In this episode, I break down what maintenance really looks like. We’ll cover three key areas: building a sustainable routine, using a "bumper rail" system for accountability, and making regular check-ins to stay on track. Plus, we’ll clarify how medication fits into your maintenance plan and when you might need to make changes. Join me now to feel confident about your next steps and learn how to keep your progress going strong!
Audio Stamps

00:57 - Dr. Rentea addresses one of the most frequently asked questions from patients about how to navigate the maintenance phase of treatment.
01:57 - We hear the importance of maintaining sustainable habits developed during weight loss and avoiding practices that are not enjoyable or sustainable long-term.
05:52 - Find out how a “bumper rail system” can help manage weight maintenance by effectively addressing small fluctuations.
07:52 - Maintenance requires ongoing effort and awareness. Dr. Rentea suggests regular check-ins and adjustments to stay on track.
09:43 - Dr. Rentea discusses medication strategies for weight maintenance.
Quotes
“What you're doing on the way down, you've got to keep doing it.” - Matthea Rentea MD
“The people that are successful long term, they're creating processes and systems, they're starting small scale enough, they keep adding things, and it's not a ton of effort. Otherwise they wouldn't keep doing it.” - Matthea Rentea MD
“For maintenance, you have to keep those things up. It might change the way in which you do it, but in some capacity you still need to do it.” - Matthea Rentea MD
“One of the things I really want to recommend is that you don't do things you're not willing to stick to.” - Matthea Rentea MD
“Our body gets smart to the changes that are happening. Just because you're in maintenance doesn't mean that there might not be more effort required at different times.” - Matthea Rentea MD
“There needs to be continued awareness. If you look at the national health registry, people that kept their weight off for 10 plus years are in some capacity tracking their weight.” - Matthea Rentea MD
“You've got to love what you're doing because you have to keep doing it and then be willing to switch it up a little bit.” - Matthea Rentea MD

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.

Not Sure Where to Start With the Podcast? I’ve Got You.

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Why You Binge and How to Stop with Jane Pilger Jul 15, 2024

Show notes

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The most common type of eating disorder in the United States, binge eating disorder (BED) often triggers intense feelings of shame and thrives on secrecy. Jane Pilger understands firsthand the emotional and physical turmoil caused by BED—her first binge left her feeling broken and ashamed, marking the beginning of a cycle of overeating and restriction that lasted for over 25 years.

In this episode, Jane shares her personal journey of overcoming BED, showing that no matter how long you’ve struggled, you can learn the strategies, tools, and mindset you need to create peace and freedom with food. Drawing from her own recovery and extensive coaching experience, Jane digs into the 8 reasons why people binge eat, practical techniques to manage urges, and key strategies to promote the self-awareness and compassion that will help you heal your relationship with food.
References

Why Do I Binge Quiz

What to Do After a Binge

Overcome Binge Eating with Powerful Questions:

The Binge Breakthrough Podcast

What is the difference between binge eating and overeating?

The Power of the Pause
Audio Stamps
02:34 - Jane shares her background and the reason she got into coaching around binge eating.
06:30 - Dr. Rentea asks Jane to explain the difference between binge eating and overeating.
11:40 - Jane talks through the eight primary reasons why people binge.

22:15 - We learn why Jane’s approach does not focus on eradicating binge eating altogether, but on separating the behavior from your self-worth.

31:38 - We find out about Jane’s "pause with permission" technique as a way to interrupt urges and calm the nervous system during moments of potential binge eating.

36:47 - Jane discusses how visualization can improve responses after binge-eating episodes

39:00 - We learn how binge eating often stems from various forms of disconnection and the key to overcoming this.

Quotes
“I have come to discover just how common binge eating is, but because there's so much shame, nobody is talking about it.” - Jane Pilger
“We can separate the behavior from you as a person. This isn't about you as a person. You are not a failure. You are not broken.” - Jane Pilger
“As soon as we get out of shame and judgment, we can open up to awareness, to curiosity and compassion.” - Jane Pilger
“That unbearable feeling will pass. We often have this sense that, ‘No, it doesn't go away unless I eat.’ It's like we have this thought error that food is the only thing that makes it go away. And actually, it will pass on its own.” - Jane Pilger
“If I could boil all of binge eating down to one word, it's disconnection. When we binge, we are disconnecting for some reason, in some way, which means that the answer, the solution, is connection.” - Jane Pilger
“If we can cultivate the skill of connecting with ourselves, with our bodies, with our emotions, with our nervous systems, with other people, with our internal compassionate voice…if we can cultivate all of that, we have no reason and no need to binge.” - Jane Pilger

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.

Not Sure Where to Start With the Podcast? I’ve Got You.

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Low-Hanging Fruit: The Key to Breaking Fat Loss Plateaus Jul 08, 2024

Show notes

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Have you ever felt stuck in your weight loss journey, convinced that one particular issue is holding you back? Whether it's the late-night chocolate cravings or skipping workouts, many of us tend to fixate on the one issue we believe is the barrier to our progress. After coaching many people with this mindset, I've learned how crucial it is to take the blinkers off and identify all the other areas where you can make small improvements that will help you break through plateaus.

Think of it like picking apples in an orchard—you start with the ones within easy reach. Instead of aiming for the top of the tree, focus on the low-hanging fruit first. Simple changes such as increasing water intake, choosing better-quality foods, or enhancing your sleep routine can make a huge difference. If you're feeling stuck in your fat loss journey, stay tuned to learn how to make these manageable adjustments that will pave the way to achieving your goals.
References

Podcast Playlist: My Doctor Started Me On a GLP 1 and Now What?
Audio Stamps
01:22 - Instead of fixating on one problem, Dr. Rentea suggests exploring multiple areas for potential improvement when facing a fat loss plateau.
04:20 - Dr. Rentea challenges listeners to confirm if they are truly experiencing a plateau and, if so, to evaluate their readiness for further changes.
06:17 - Listeners find out about a practical task to help them rethink health challenges and identify new ways to make improvements.
11:05 - Dr. Rentea reminds us that implementation of new strategies isn't always easy, comparing it to a recent experience in her business. Persistence and adaptation is key.
12:35 - Dr. Rentea discusses key areas to focus on for optimizing health including hydration, nutrition, movement, sleep quality, and stress management.

Quotes
“Do you actually have the mental capacity to do more right now? Because we're going to have to change something.” - Dr. Rentea
“Anytime you want to break a habit, you want to do something different, you want to switch up your routine in some way, it's going to be an energy expenditure.” - Dr. Rentea
“There is always more that you can do.” - Dr. Rentea
"These things start to add up and they matter with time. If you make the bar low enough, the lowest hanging fruit, you will actually take action on it." - Dr. Rentea
“I'm going to have a brainstorming session and write down all the things I can do. Then I'm going to figure out what's actually easy on that list and I'm going to take action on that.” - Dr. Rentea
“It's so painful when you do something new. It doesn't mean that you're not going to be able to achieve these results or that your body's not capable of it.” - Dr. Rentea
“Remember, we're going to keep it easy. We're going to keep it simple. You're going to pick one thing. You're going to do the 1 percent upgrade.” - Dr. Rentea
“Once you start to look for small little improvements and things you can do, then your brain starts to harvest all the other little areas that it can improve.”- Dr. Rentea

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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The 30/30 Program is live for Enrollment now! Jul 02, 2024

Show notes

Send a Text Message. Please include your name and email so we can answer you! Please note, this does not subscribe you to our email list, it's just to answer if you have a questions for us.

Enroll in The 30/30 Program now! Registration closes August 31st 11:59pm EST.

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.

Not Sure Where to Start With the Podcast? I’ve Got You.

Support the show

The Limitations of Obesity Management in Primary Care with Chase Franks Jul 01, 2024

Show notes

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As many of you may know, the Rentea Metabolic Clinic came about as a result of my frustrations in the primary care setting. Despite my passion for patient care, the brief appointments meant I couldn’t effectively tackle underlying metabolic challenges like insulin resistance, which are key for long-term health.

I recently learned that nurse practitioner and TikTok star Chase Franks faced similar challenges in his experience of primary care. Chase shares my passion for debunking myths about anti-obesity medications and his TikTok fans—over 118K strong—love his relatable approach and straightforward explanations.

In this episode, join us as we discuss the challenges we both faced in addressing weight management issues in primary care, our shift into exclusive weight management roles, and why educating and empowering patients is at the heart of what we do.
References:

Follow Chase on TikTok (@bourbonrx)

https://www.ivimhealth.com/
Audio Stamps
01:08 - We meet Dr. Rentea’s podcast guest, nurse practitioner Chase Franks, who shares how and why he built his TikTok presence in the weight management field.
03:30 - Dr. Rentea asks about Chase's experience with weight management in primary care and the challenges he faced due to time constraints and stigma.
05:50 - We hear about the differences in approaching weight management, particularly in terms of patient readiness, between specialty care and primary care settings.
09:55 - Chase and Dr. Rentea discuss the challenges in primary care, particularly the constraints in time and resources for effective weight management, highlighting the gap between patient needs and available support.
15:30 - Chase encourages listeners to seek specialized obesity management specialists for support, acknowledging that not all primary care doctors may have the expertise to address weight management effectively.
Quotes
“I hate that in the medical establishment everything is blamed on weight and people are made to feel bad about their weight.” - Chase Franks, NP
“What I came to realize is this is not something that I can tackle in the primary care setting.” - Matthea Rentea MD
“I don't think that people know when they're going into this, how complex it is, the level of help that they're going to need, and how often.” - Matthea Rentea MD
“If you're seeing a primary care doctor and you feel like they're not supportive in this, they might not have the education, so they're just the wrong person to steer you.” - Matthea Rentea MD
“Obesity is a very complex chronic medical condition that more often than not would require specialized care. And there are providers out there that are well versed in it who do care.” - Chase Franks, NP
“You don't have to white knuckle it your whole life. There are people that care and want to help you out there and have the education to do so.” - Chase Franks, NP

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.

Not Sure Where to Start With the Podcast? I’ve Got You.

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The Power of Rituals: Tricking Yourself Into Consistency Jun 24, 2024

Show notes

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Are you struggling to achieve consistency with your metabolic health goals? One of the biggest mistakes that people make when they start out working on their health is aiming for too many new habits and strategies at once, expecting them to work effortlessly. So how do we break that cycle and take a more realistic (and less frustrating) approach?
In this episode, Dr. Rentea explores practical strategies to build consistent habits, from understanding the initiation phase of behavior change to mastering the “Four C’s” formula to achieve success. Learn how to navigate the complexities of habit formation with ease and purpose, setting the stage for long-lasting improvements in your metabolic health journey.
References
The 4 C’s Formula by Dan Sullivan
Atomic Habits by James clear
The Gap and the Gain by Dan Sullivan and Dr. Benjamin Hardy
10X is Easier Than 2X by Dan Sullivan and Dr. Benjamin Hardy
Audio Stamps
03:03 - Dr. Rentea discusses two key actions people take to achieve consistency: developing realistic habits and mastering the “Four C's” concept—commitment, courage, capability, and confidence.
10:30 - Dr. Rentea emphasizes the need to seek support to achieve goals and highlights the importance of addressing logistical factors before focusing on the main goal.
12:04 - Dr. Rentea reminds us of the anatomy of a habit, emphasizes focusing on the initiation phase, and explains why we don't need to strive for perfection.
16:45 - Dr. Rentea urges us to identify one key issue we struggle with and focus on the smallest step to change it.
Quotes
“The mistake that everyone makes when they start out working on metabolic health is that you want to have all these new habits, all these new strategies, and you want it all to be working effortlessly. That is insanity to think that that would be the case.” - Matthea Rentea MD
“We need to know what the cue, the trigger, the beginning of you actually doing this new thing is. What actually is it that needs to happen for you to do this thing? And then we need to get really realistic about it.” - Matthea Rentea MD
“I don't negotiate with myself in the morning if I want to walk or not. I'm walking, period. The clothes are laid out, the shoes are there, I'm getting it on and I'm going.” - Matthea Rentea MD
“If you want to make things happen, I want you to look for every single way in your life that you can get the support to do it.” - Matthea Rentea MD
“I want you to focus on just the initiation phase for this habit that you want to do.” - Matthea Rentea MD
“If you were to think about the beginning of a habit and you changed the course just a little bit, you pivoted, you did something differently, you are not going to get the same outcome.” - Matthea Rentea MD

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.

Not Sure Where to Start With the Podcast? I’ve Got You.

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Safer Surgeries for All: Expert Tips on Anesthesia and Obesity with Dr. Sarah Bodin Jun 17, 2024

Show notes

Send a Text Message. Please include your name and email so we can answer you! Please note, this does not subscribe you to our email list, it's just to answer if you have a questions for us.

If you are overweight or obese and planning to have surgery, it's important to understand how excess weight can put you at risk for certain side effects and complications, whether from the surgery itself or the anesthesia you need.
To help me explore the unique challenges people with obesity face when undergoing surgery, I invited Dr. Sarah Bodin, a double board-certified physician in obesity medicine and anesthesia, to join me for this week’s episode.
Together, we delve into the complexities of anesthesia, and discuss the impact of medications like GLP-1 and the importance of screening for conditions such as sleep apnea. Join us now as we navigate the path to safer and more inclusive surgical experiences for all patients.
Connect with Dr. Bodin
Quality of Life Physician Weight Management

Follow Dr. Bodin on TikTok
Audio Stamps
01:30 - Dr. Bodin shares her professional background.

02:10 - Dr. Bodin discusses the importance of holding GLP-1 medications before surgery due to their effects on gastric emptying.
08:35 - Dr. Rentea asks about the clinical challenges posed by obesity, such as obstructive sleep apnea, hypertension, diabetes, and difficulties with IV access.
10:22 - Dr. Rentea and Dr. Bodin discuss the necessity of screening for sleep apnea in weight management patients due to its impact on both weight and overall health.

11:50 - We learn about the safety considerations regarding weight limits for outpatient versus hospital-based surgical settings.
15:25 - We hear the proactive measures overweight and obese people can take to prepare for surgery to reduce the likelihood of complications and promote successful outcomes.
20:13 - We find out about the risks associated with skin removal surgery for people who have lost significant amounts of weight.
22:44 - Dr. Bodin shares her tips for other physicians that might not have had as much training in this area, including how to be mindful of language and biases.
Quotes
“None of us want to have problems surgically because of our weight.” - Matthea Rentea MD
“My recommendation would be that if you're taking a weekly injectable, you hold it for a solid two weeks prior to your surgery.” - Dr. Bodin
“It is super, super common for me to see obstructive sleep apnea. Some of which has been diagnosed and some of which people do not know about.” - Dr. Bodin
“If you have obesity, you're more likely to have sleep apnea. If you have sleep apnea, it can potentially cause worsened weight gain. So yes, that is built into my screening tools for my practice.” - Dr. Bodin
“High blood sugars are associated with a number of different problems around surgery.” - Dr. Bodin
“If your cardiovascular system, your heart, your blood vessels, and your respiratory system are all a little bit tolerant of exercise, you're going to better be able to tolerate the stress that a surgery and an anesthetic bring.” - Dr. Bodin

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.