Diet & Weight Magazine

Diet Doctor Podcast #60 — Dr. Sandra Palavecino

By Dietdoctor @DietDoctor1

There's more than one way to lose weight. How does the director of a weight loss clinic decide the best path for each patient?

Dr. Sandra Palavecino encounters this decision every day. And although she can choose from medications, surgery, and calorie restriction, she frequently chooses low-carb diets as her first approach.

Her personal, professional, and scientific experience has shown her that the benefits of low-carb are unmatched by other modalities. Here is her story, and a glimpse behind the scenes at her clinic.

Thanks for reading,
Bret Scher, MD FACC

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Table of contents


00:00 Introduction
02:31 Welcome, Dr. Sandra Palavecino
02:56 Dr. Palavecino's background in obesity medicine
07:23 Challenges for low-socio economic population
11:36 How Sandra brings obesity to the forefront of her practice
14:35 Relating science to the health risk of obesity
16:49 Treating weightloss with various modalities
18:36 Dealing with patients post-bariatric surgery
20:26 Nutritional adjustment to surgical populations
23:04 Helping patients to tune their hunger hormone
28:17 Low carb approach in the mainstream healthcare
33:46 The role of prescription medication for weight loss
37:54 The role of very low calorie diets
39:39 Long term success of meal replacement foods
41:26 Motivating factors to keep the healthy weight loss
45:49 Intermittent fasting in Dr. Palavecino's practice
50:54 Tips for people working in shifts to achieve weight loss success
55:24 Where to find Dr. Palavecino

About the video

Virtual podcast recorded in October 2020, published in December 2020.
Host: Dr. Bret Scher
Producer: Hari Dewang

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