The Ozempic Revolution: A Doctor's Proven Plan for Success to Help You Reverse Obesity, End Yo-Yo Dieting, and Protect Yourself from Disease by Alexandra Sowa, MD (2025)
xvii+238-page Kindle Ebook
Genre: Nonfiction, Medication, Obesity, Weight Loss, Glucagon-like Peptide 1, Reducing Diets
Featuring: Parts, Weight Prejudice, BMI, Type 2 Diabetes, PCOS, High Blood Pressure, NAFLD, Metabolic Dysfunction, Why Doctors Have Failed You, Why “Try Harder” Is Terrible Medical Advice, How GLP-1s Reverse Obesity, End Yo-Yo Dieting, and Protect You from Disease; What the GLP-1 Experience Really Feels Like: An FAQ, Are You a Candidate for a GLP-1?, Charts, Graphs, and Illustrations; Journal Entries, The SoWell Method for Sustainable Success on GLP-1s, The Habit Foundations, Regular Weighing, Identify Your Whys, Using A Food Log, Hunger Scale, Meal Planning, The Food Foundations, The Mental Foundations, How Thoughts Lead to Actions, Testimonies, Your GLP-1 Life, A Complete Guide to Feeling Great While Losing Weight on GLP-1s, Common Emotional Stumbling Blocks, Getting a Prescription and Getting It Covered, Pre-Appointment Checklist, Why Hard Cardio Can Hurt—and What to Do Instead, How to Preserve and Build Muscle Mass; Menopause, Weight Gain, and Muscle; Maintaining for Life, What to Do When You Stop Losing, Watch for Red Flags, Recipes and Dining Out, Simple, Easy Meals for When You Don’t Feel Like Eating, A Guide to Dining Out In Conclusion, Author's Links, Acknowledgments, Appendices w/ QR Codes - Appendix A: Food, Lifestyle, and Emotional and Physical Effects Tracker; Appendix B: Meal Planner Worksheet, Appendix C: Cognitive Behavioral Training Tool Kit, Notes, Index
Rating as a movie: PG-13
Memorable Quotes: First, they have unrealistic expectations: Lacking information, they think the weight will fall off right away. In this book, I offer clear data and vivid descriptions of what every point on the GLP-1 journey looks like, setting users up to stay the course for the long haul. Second, they need help managing side effects: GLP-1 users need to learn how to eat to prevent the most common side effects (nausea, diarrhea, constipation, and fatigue), particularly in the early months when these uncomfortable side effects are most likely. This book provides a new framework for food choices that manages these issues while supporting optimal health. Third, they lack social support: So many of my patients get nothing but grief from their family and friends (and even their doctors!) about their decision to use GLP-1s. They need information and the self-belief to feel confident and empowered while taking these drugs—none of which comes with their prescription. And finally, they can’t afford it: In the United States, these drugs have had a list price of upward of $1,000 a month. (Compare that to $100 to $200 a month in the United Kingdom and Europe.) Many insurance companies—including Medicaid and Medicare, in most cases—don’t cover weight loss drugs, and some that do claim that the costs will soon force them to limit access and length of coverage. This is a definite challenge, but change is coming.
For centuries, society—including doctors—has heaped shame and scorn on people who carry excess weight. People with obesity are casually, cruelly dismissed as lazy, lacking in self-esteem, weaker, and less competent than their leaner counterparts. There are a lot of ugly reasons for this—racism, classism, and misogyny, to name a few sweeping undercurrents—but because I’m a doctor, this book will focus on the medical story. A primary reason doctors treated obesity as a problem of willpower is that they didn’t know any better.
DISEASES LINKED TO OBESITY Before prescribing a GLP-1 medication, your doctor should screen you for the following diseases and disorders. The goal is always to discover and treat the underlying contributors to obesity. Polycystic ovary syndrome (PCOS) Metabolic syndrome Prediabetes Type 2 diabetes Hypothyroidism Binge-eating disorder Night eating syndrome Sleep apnea Depression or mood disorders
Few people realize that their fat isn’t some passive blob taking up space. In fact, it’s a powerful and dynamic organ. I would argue it’s the most powerful organ we have. And when it becomes too powerful, it becomes a major driver of the hormone dysregulation that makes it almost impossible to lose weight and increasingly easier to gain it.
PCOS is a chronic condition that causes hormonal imbalances associated with anovulation, irregular periods, infertility, weight gain, insulin resistance, type 2 diabetes, hyperlipidemia, heart disease, hypertension, androgenic alopecia, and excess facial and body hair. And yet women are often given little guidance when it presents; instead, they’re often just put on birth control to help with irregular periods (a common PCOS symptom) and shuttled out the door. Up to 70 percent of these women have concurrent insulin resistance, a precursor for type 2 diabetes and a big driver of weight gain.
Food is delicious and meant to be enjoyed. But it’s difficult—maybe even impossible—to maintain a healthy weight when it becomes your primary source of pleasure, especially in a world of abundant hyperpalatable food choices. That’s why one of the first priorities of the SoWell Method is to help you rebalance the role of food in your life.
The Food Foundations are not rules, they’re building blocks: the habits that ground your eating patterns. You won’t follow them at every meal for the rest of your life. It’s a direction to move in, not zero-sum thinking.
My rating: 🌟🌟🌟🌟🌟💉
My thoughts: 🔖Page 3 of 238 Chapter 1 Why “Try Harder” Is Terrible Medical Advice - I just read 10 pages that aren't included in the page count, but at least they're numbed with Roman numerals. I'm reading this book for information I know a few people who have gotten on and off of Ozempic. So far it's not exciting but I'm interested to hear about these side effects and results.
🔖63 Chapter 5 The Habit Foundations - There is so much to unpack here and I'm not going to try to document it all. This is very interesting (not always the case for this genre) but I'm taking a break as I came to a part and I'm ready for some cupcakes via Jenn McKinlay, not the kind you eat.
This is a great book, it has a great balance between information on these medications and a long-term plan for utilizing them and maintaining the weight after you stop. She definitely isn't trying to sell these meds as I didn't feel like it was a commercial and still have no interest in a prescription.
Recommend to others: Yes. I highly recommend this book if you take these drugs, know someone who takes them, have an interest in taking them, or if you're just nosy like me.