• Sarah Hormachea Diabetes Care and Education - The GLP-1 Ripple Effect How Medications Are Reshaping Consumer Behavior
    Nutrition

    How GLP-1s Are Reshaping Consumer Behavior

    It’s been about a month since FNCE 2025 in Nashville, and I’m still sifting through my notes and revisiting the sessions I loved. One that stood out was the panel “The GLP-1 Effect: Understanding Consumer Behavior Shifts and Their Impact on Food, Nutrition, and Innovation.” The sheer scale of GLP-1 adoption and the depth of the data presented were striking. What made the session even more compelling was its interdisciplinary perspective, bringing together insights from industry leaders, physicians, RDs, and AI-generated consumer modeling. GLP-1 medications are reshaping metabolic health, culture, consumer expectations, and the future of the food landscape. Here…

  • Sarah Hormachea Diabetes Care and Education BMI vs body composition in clinical practice
    Diabetes Care & Education,  The Science Says...

    Goodbye BMI? Why Body Composition Is Gaining Ground in Clinics

    The rise of incretin-based therapies for obesity care, like Wegovy (semaglutide) and Zepbound (tirzepatide), has brought renewed attention to the risk of muscle atrophy that can accompany rapid weight loss. To better assess changes in skeletal muscle mass, clinicians are turning to body composition assessment tools to track progress over time. However, the ability to measure, interpret, and communicate changes in body composition is a skill most clinicians haven’t been formally trained in, leaving many feeling like it’s not a tool they can confidently use. I want to push back against that assumption and offer some basic principles to help…

  • Sarah Hormachea Diabetes Care and Education Obesity Redefined
    Diabetes Care & Education,  The Science Says...

    Obesity Redefined: A Bold New Approach to Diagnosis

    A recent publication in The Lancet: Diabetes & Endocrinology is prompting the medical community to rethink how obesity is screened and diagnosed. Endorsed by over 75 organizations worldwide, including scientific societies and patient advocacy groups, this consensus calls for a major overhaul of the language, classification, and diagnostic criteria used to address excess adiposity and its impact on the body. Interestingly, the commission not only includes international experts from diverse medical specialties and regions but also individuals with lived experience of obesity. Together, they aim to define ‘clinical obesity’ and establish objective criteria for its diagnosis. Let’s dive into their…

  • Sarah Hormachea Diabetes Care and Education Wegovy Dizziness
    The Science Says...

    Dizziness and Wegovy: What’s the Connection?

    I’ve recently had an increasing number of patients report dizziness while taking Wegovy (semaglutide). This has been observed in both newly prescribed patients and those who have been on the medication for over a year. The dizziness appears distinct from more common side effects such as nausea, vomiting, diarrhea, and constipation. It occurs suddenly and unpredictably but is consistently present. What could be causing this dizziness in patients using Wegovy for weight loss? Let’s explore the science to better understand this phenomenon. What is Wegovy? Wegovy is a once weekly prescription medication containing semaglutide, which is used for chronic weight…

  • Sarah Hormachea Diabetes Care and Education Cortisol and Weight Gain
    The Science Says...

    Cortisol and Weight Gain: How Stress Affects Your Body

    Cortisol has become a prominent topic in discussions about weight loss. Often referred to as the “fight or flight” hormone, it is closely associated with stress. Recently, many health and wellness influencers have suggested that elevated cortisol may be responsible for unexplained weight gain or the body’s resistance to weight loss. But is this accurate? Are abnormally high cortisol levels truly contributing to the obesity epidemic? Let’s take a look at what the science says. What is Cortisol? Cortisol is a steroid hormone produced by the adrenal glands, located on top of the kidneys. It is often referred to as…

  • The Science Says...

    Your Weight Matters: Key Messages from the National Convention

    This summer Denver hosted it’s first 4-day educational event for individuals concerned with weight-related issues. The Your Weight Matters National Convention is the largest National meeting dedicated to providing evidence-based strategies for individuals impacted by excess weight and obesity. The organizer, Obesity Action Coalition, is a national non-profit organization dedicated to giving a voice to those affected by the disease of obesity and helping individuals along their journey toward better health through education, advocacy and support.