Sarah Stombaugh, MD - Personalized Weight Loss

06/04/2026

We often focus on counting calories for weight loss, but our bodies are more complex than a simple equation. When our metabolism adapts, it sometimes enters starvation mode when food is scarce, which can actually lead to a slow metabolism. Understanding this protective mechanism is crucial when considering how to lose weight, as a restrictive 'diet' might not yield the expected results due to these adaptive responses.

06/04/2026

For years, we've been told that weight loss is simply a matter of calories in versus calories out. While calories do matter, the reality is far more complex. In this episode, Dr. Sarah Stombaugh, an obesity medicine physician explores why your body is not a simple calculator and why two people eating the same number of calories can experience very different results. You'll learn how food provides not only energy but also important signals that influence hunger, fullness, metabolism, and fat storage.

The internet often debates the role of "calories in calories out" when discussing a weight loss diet. While thermodynamics dictates energy balance, it's an incomplete way to understand how our bodies process energy. Our metabolism and overall energy production are far more complex than a simple calorie deficit equation.

We discuss the powerful role of macronutrients and how protein, carbohydrates, and fat each send different messages to the body. Dr. Stombaugh explains why some foods keep you satisfied longer, why blood sugar and insulin levels matter, and how food quality can affect your ability to lose weight. Understanding these signals can help you make more informed choices without becoming obsessed with calorie counting alone.

The episode also dives into metabolic adaptation, insulin resistance, and why chronic dieting can make weight loss feel harder over time. If you've ever felt frustrated that you're eating less but not seeing the results you expect, this conversation will help you understand what's happening beneath the surface. You'll walk away with a more complete understanding of weight loss and practical strategies for working with your body rather than against it.

Ready to get started on your weight loss journey? We’re now enrolling patients for in-person visits in Charlottesville, Virginia and for telemedicine throughout the states of Illinois, Tennessee, and Virginia. Learn more and get started today at https://www.sarahstombaughmd.com

If you’re looking for support during your GLP journey, check out The GLP Guide. This on-demand video program will give you answers to the questions you have! Get started today at https://www.sarahstombaughmd.com/

06/02/2026

GLP-1 options are evolving FAST. From easier pills to stronger injections, there’s now more choice than ever. But here's the truth, the ‘best’ option depends on YOUR goals, lifestyle, and tolerance.

• Foundayo = easiest to take
• Wegovy pill = strong but strict
• Wegovy HD = most potent from the new medications

Always talk to your doctor before starting!

06/01/2026

A recent study sheds light on the safety of using certain weight loss medications, specifically tirzepatide, during breast feeding. As a doctor, I often get questions about this, and this study helps clarify the presence of the medication in breast milk. This is important information for those considering weight loss medications while lactating. Please ask your own physician for personalized medical advice.

05/31/2026

Losing just 5% of your body weight can change your health in a really big way, without even hitting your target weight!

Here's the truth: a 5% weight loss can lead to significant drops in blood pressure, blood sugar, cholesterol, and even joint pain.

You don't have to wait to hit that "goal weight" to feel better, progress matters now. Sometimes, it's the little wins in health that make the biggest difference.

What’s been your biggest health breakthrough so far?

05/29/2026

With so many weight management medications on the market, I often get asked, “How do you choose the best medication for your patient?” The reality is, I just guess

05/28/2026

Big news in obesity medicine! CVS Caremark has brought Zepbound back onto its formulary starting October 1, 2026, reversing a previous decision that required patients to try other prescription drugs like Wegovy first. This change significantly expands GLP-1 coverage options for members, particularly benefiting those who had success with Zepbound weight loss. This update impacts pharmacy benefit managers and broadens access to important GLP-1 medications for many.

05/28/2026

05/28/2026

Using this information can help you set a new goal for yourself and start growing upon that. It's even easier now to track steps using our smartwatches or smartphones. 😊






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