Mercer Health specialists discuss GLP-1 medications and weight-management options

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Representatives from Mercer Health’s Center for Healthy Weight and Wellness recently joined WCSM’s Spectrum to discuss obesity treatment, GLP-1 medications and the importance of combining medication with lasting lifestyle changes.

Ashley Schoen and Maria Muhlenkamp explained that several options are available for people seeking medical assistance with weight management. Among the most widely recognized treatments are GLP-1 medications such as Ozempic, Wegovy, Zepbound and Mounjaro.

The medication class has been used to treat Type 2 diabetes since 2005. GLP-1 medications mimic a hormone naturally produced in the small intestine that plays a role in appetite, fullness, insulin production and blood-sugar management.

By slowing digestion, the medications can help patients feel full longer and reduce persistent thoughts about eating, sometimes referred to as “food noise.”

Schoen and Muhlenkamp said insurance coverage varies considerably. Some plans may cover the medications for patients with diabetes, sleep apnea, fatty liver disease or heart disease, while others may require patients to document several months of dietary and exercise changes before approving treatment.

The center works with patients to determine which medication may be appropriate based on their health history, related conditions and insurance coverage. Patients are also encouraged to meet with a dietitian and incorporate regular exercise into their treatment plan.

Schoen and Muhlenkamp emphasized that the medications are tools rather than instant solutions. Clinical studies paired the treatments with dietary changes and approximately 150 minutes of exercise each week.

Providers also monitor patients for side effects, the pace of weight loss and possible muscle loss. Dosages may be adjusted gradually, and dietary changes can sometimes help patients better tolerate treatment.

The Mercer Health representatives warned patients to be cautious of online advertisements offering inexpensive GLP-1 products without a prescription. Compounded products are not subject to the same federal review process as branded, FDA-approved medications, and treatment without regular medical supervision can create safety concerns.

Those concerns include losing weight too rapidly, losing excessive muscle mass and receiving medication from an unreliable source.

The center uses an InBody scale to measure patients’ muscle mass, body fat and water weight throughout treatment.

Schoen and Muhlenkamp said successful weight management can improve much more than a person’s appearance. Patients have reported being able to put on their shoes without assistance, return to work, move more comfortably and prepare for orthopedic procedures.

They also stressed that obesity is a chronic and complex medical condition—not simply a result of laziness or a lack of willpower. Hormones, metabolism, medical conditions and psychological factors can all affect a person’s weight.

Because obesity is chronic, some patients may need medication over the long term, much like someone who takes medication to manage high blood pressure.

Mercer Health develops an individualized plan for each new patient after reviewing lifestyle habits, health conditions and personal goals. A referral from a primary-care provider is not required.

Anyone interested in scheduling an appointment with Mercer Health’s Center for Healthy Weight and Wellness may call 419-678-8446. The center is located next to Mercer County Community Hospital.