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The Obesity Doctor Podcast

The Obesity Doctor Podcast

Dr. Sasha High 194 Episodes Jul 20, 2026

The Obesity Doctor Podcast, hosted by Internal Medicine and Obesity Physician Dr. Sasha High, explores weight, health, and metabolism without extreme or oversimplified views. Each episode dives into the biology of weight, the realities of behavior change, and the nuance often missing from mainstream conversations. Topics include GLP-1 medications, emotional eating, metabolic health, and mindset. The show offers practical, evidence-based insights for listeners seeking sustainable changes and lasting health. It is connected to Dr. High's obesity medicine clinic in Ontario, Canada.

Episodes

189. GLP-1 Therapy and Bone Density: Separating Signal from Noise with Dr. Sandra Cortina
189. GLP-1 Therapy and Bone Density: Separating Signal from Noise with Dr. Sandra Cortina Jul 20, 2026 1778 Do GLP-1 medications affect bone health?GLP-1 medications have transformed obesity treatment, but they've also sparked important questions about bone health, bone density, and fracture risk.In this episode, I’m joined by obesity medicine specialist Dr. Sandra Cortina to unpack what the current evidence actually shows about bone health during GLP-1 therapy. We separate evidence from headli
188. Why Am I Not Losing Weight? The 5 Reasons You're Stuck (And What to Do Next)
188. Why Am I Not Losing Weight? The 5 Reasons You're Stuck (And What to Do Next) Jul 13, 2026 1283 You're eating healthy, exercising, and doing everything you think you should, but the scale isn't moving. So what's going on?In this episode, we explore the five most common reasons weight loss stalls, including hidden calorie intake, chronic under-fueling, metabolic adaptation, and lifestyle factors like sleep, stress, and movement. You'll learn why your body isn't broken and how buildin
187. Hot Flashes, Hormones & Menopause: A Conversation with Dr. Sheila Wijayasinghe
187. Hot Flashes, Hormones & Menopause: A Conversation with Dr. Sheila Wijayasinghe Jul 6, 2026 2413 Menopause is something every woman will experience, yet many still feel confused, dismissed, or overwhelmed when symptoms begin. In this conversation, I’m joined by Dr. Sheila Wijayasinghe to unpack the realities of perimenopause, menopause, and hormone therapy in a practical, evidence-based way.We talk about what the menopause transition actually looks like, why symptoms can begin years
186. Wellness Peptides: Science, Hype, and the Wild West of the Internet with Dr. Lauren Colenso-Semple
186. Wellness Peptides: Science, Hype, and the Wild West of the Internet with Dr. Lauren Colenso-Semple Jun 22, 2026 1767 I’m joined by Dr. Lauren Colenso-Semple to unpack the rapidly growing world of wellness peptides — from BPC-157 and CJC-1295 to Ipamorelin, Tesamorelin, NAD, and the so-called “fat-burning” and “healing” peptides taking over social media. We discuss what peptides actually are, why they’ve become so popular, and how legitimate medical therapies have blurred into a largely unregulated welln
185. How to Eat Well on  GLP-1s – Part 2: Gut Health, Protein Strategy & Stopping GLP-1s
185. How to Eat Well on GLP-1s – Part 2: Gut Health, Protein Strategy & Stopping GLP-1s Jun 15, 2026 1505 In Part 2 of this series, we're diving into the practical nutrition strategies that can help you feel your best while taking medications like Ozempic, Mounjaro, and Zepbound.From constipation and digestive changes to hitting your protein goals with a low appetite, this episode focuses on the habits that support long-term success and help you maintain your results. We'll cover:• Why consti
184. The Obesity–Cancer Connection: What Every Patient Needs to Know with Dr. Neil Naik
184. The Obesity–Cancer Connection: What Every Patient Needs to Know with Dr. Neil Naik Jun 8, 2026 2020 In this episode, Dr. Neil Naik and I unpack a foundational question—is obesity actually linked to cancer, and what’s really driving that connection? We explore the underlying biology, from chronic inflammation and insulin resistance to the hormonal activity of adipose tissue, and why visceral fat may matter more than we think.We then move beyond risk and into what happens after a diagnosi
183. How to Eat Well on GLP-1s - Part 1: Preserving Muscle & Managing Side Effects
183. How to Eat Well on GLP-1s - Part 1: Preserving Muscle & Managing Side Effects Jun 1, 2026 1366 GLP-1 medications like Ozempic, Mounjaro, and Zepbound are changing the conversation around obesity and weight loss — but there’s one major problem: most people are starting these medications with little to no guidance on how to properly nourish their body while taking them.And that matters.Because while GLP-1s can be incredibly effective tools for weight loss, they can also lead to muscl
182. Dismantling Diet Culture with Psychotherapist Brian Baumal
182. Dismantling Diet Culture with Psychotherapist Brian Baumal May 25, 2026 2482 Brian Baumal lost 100 pounds, and more importantly, he’s kept it off for over 14 years.But what he really understands is this: it’s not a lack of knowledge that keeps people stuck, it’s the psychology. The urgency that drives all-or-nothing thinking.Brian works as a Toronto-based psychotherapist and is the guest on today’s episode of THE OBESITY DOCTOR PODCAST. We break down why urgency i
181. Balancing Social Eating & Weight Loss This Summer
181. Balancing Social Eating & Weight Loss This Summer May 19, 2026 844 In today’s episode, we’re talking about one of the biggest challenges during a weight loss journey — balancing social eating while still making progress.With summer approaching, there are naturally more opportunities for eating out, patio dinners, vacations, parties, and weekend plans. Many people feel confident and consistent during the week, but struggle when social events come up and f
180. The Realities of Bariatric Surgery: Risks, Benefits, and Options with Dr. Laz Klein
180. The Realities of Bariatric Surgery: Risks, Benefits, and Options with Dr. Laz Klein May 11, 2026 2102 Bariatric surgery is one of the most effective tools we have in obesity medicine—and also one of the most misunderstood.In this episode, I’m diving into where surgery truly fits in the treatment of obesity and metabolic health. While we often focus on medical therapies like GLP-1s, it’s important to understand the role bariatric surgery can play—and why it continues to be underutilized or
179. Generic Semaglutide — What We Know, What We Don’t, and What Matters as of May 2026
179. Generic Semaglutide — What We Know, What We Don’t, and What Matters as of May 2026 May 4, 2026 1444 In this episode, I walk through what’s actually happening with generic semaglutide right now—and what it means for you in real life, not just in headlines. I explain where semaglutide fits in the bigger picture, how it compares to tirzepatide, and why generics are entering the market now. I also break down what “bioequivalence” really means—and why that nuance matters when it comes to eff
178. Using Visualization, Imagery, and Identity Work to Support Long-Term Health Motivation with Psychotherapist Margo Green
178. Using Visualization, Imagery, and Identity Work to Support Long-Term Health Motivation with Psychotherapist Margo Green Apr 27, 2026 2062 Long-term change isn’t just about knowing what to do—it’s about how we see ourselves while we’re doing it. In today’s podcast episode, we explore why so many people get stuck in that gap between where we are and who we’re trying to become.I’m joined by Registered Psychotherapist Margo Green, and we talk about how visualization and imagery can make the future feel more real and connected t

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