Brigid Titgemeier says patients eating "pretty healthy" still have metabolic problems because doctors skip the real work. Before prescribing GLP-1 drugs, clinicians should test for chronic inflammation, leaky gut, and microbiome imbalance. She argues nutrition analysis, lifestyle changes, and supplements should come first.
What I'm seeing more often than not is people who are walking into their doctor's office saying, I eat pretty healthy, but it's still not working. And then their doctor's saying, okay, let's just put you on a GLP-1. And just because you say that you're eating healthy— like, everyone comes into our program saying they eat pretty healthy— that does not mean that you are doing all of the things that help to offset this underlying inflammatory response, that helps to ensure that you don't have leaky gut, that helps to ensure that you're feeding your gut microbes in a way that helps them thrive, that you are managing a diet that helps to support your insulin sensitivity. Healthy. Like, it has to be so much deeper than just eating healthy. And I truly have such an issue with doctors jumping to this idea that everyone needs to be on a GLP-1 for the anti-inflammatory response without ensuring that they've done a full protocol diving into what people are eating in order to understand what that actually looks like. If you really are eating as healthy as you think and there aren't any additional opportunities that you can move the needle with when it comes to nutrition, lifestyle, and supplements.
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