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Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com

Is it too late to lose weight at 65? 

And if it isn't, how much do you actually need to lose, and which treatments are safe for an older body? Now that Medicare patients can access GLP-1 medications through the Bridge program, these questions are a lot more practical than theoretical, and there's like, a ton of confusion out there about what's right for older adults.

To help sort it out, today's guest is Dr. Melanie Jay, a professor of medicine and population health at NYU Grossman School of Medicine. She's an internal medicine physician and board-certified obesity specialist who sees patients at the New York Harbor Veterans Health Administration in Manhattan, so she's caring for older adults in real life every week. She also directs the NYU Langone Comprehensive Program on Obesity Research, where her work focuses on improving obesity treatment and prevention in primary care settings and among vulnerable patient populations.

Dr. Jay has published more than 100 peer-reviewed articles, her commentary has appeared in outlets like the New York Times, CBS News, and the Today Show, and her TEDx talk on the future of obesity care was featured as an editor's pick. She's the perfect person to walk through what older adults should know about weight, medications, and surgery.

Topics discussed:

  • Is it too late to lose weight at 65? Dr. Melanie Jay says no
  • Skipping meals in older age
  • GLP-1 medications in older adults: safe, effective, and no age cutoff
  • Heart protection in older adults: what the SELECT trial showed for Wegovy
  • GLP-1s in older adults: muscle, side effects, hydration, and staying the course
  • Paying for obesity treatment after 65: Medicare, the VA, and why wraparound care matters

Ready to hear how much weight older adults actually need to lose, what to watch for with side effects like dehydration and muscle loss, how Medicare and the VA cover treatment, and why a strong care team makes all the difference? Play the full episode to hear the whole conversation with Dr. Jay.

Connect with me Dr. Melanie:

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