Medications
How do GLP-1 medications work, and who are they for?
Semaglutide and tirzepatide are everywhere in the news. Here’s how this class of medicine works, who guidelines say may benefit, and what to watch for.
7 min read
Answers
The answers library
Straight, evidence-based answers to the questions people ask Dr. Richard most, each one sourced and dated.
Maintenance
Why does weight come back, and how is maintenance planned?
Regaining weight isn’t a personal failure. The body actively defends its previous weight. Here’s why, and what a real maintenance plan looks like.
6 min read
Obesity basics
Obesity is a chronic disease. What does that mean for treatment?
Calling obesity a disease changes the conversation: from blame to biology, and from quick fixes to long-term care. Here’s what that looks like in practice.
6 min read
Women’s health
PCOS, menopause and weight: what changes, and what helps?
Hormones shape where the body stores fat and how it responds to treatment. Here’s what changes with PCOS and menopause, and what the evidence supports.
6 min read
Have a question that isn’t answered here? Email [email protected]. Common questions may become future answers (never with personal details).
How to read weight-loss headlines
Four quick checks before you believe the next big claim.
Check who ran the study
Large randomized trials published in major journals carry more weight than small or company-only reports.
Look for the comparison
Results mean most when compared with a placebo or usual care group, like the trials cited here.
Averages aren’t promises
A trial average describes a group. Your own response may be larger or smaller.
Notice the time frame
Weight trials usually run more than a year. Short-term results can mislead.
Your questions deserve real answers.
Ask about a first visit, a medication you’ve heard about, or a plan that finally fits your life. Se habla español.