The Truth About Weight Loss: What GLP-1s Can't Do Alone with Dr Seun Sowemimo

Send us Fan MailGLP-1 injections are everywhere, bariatric surgery numbers are shifting, and patients are arriving more informed than ever. We sit down with Dr Seun Sowemimo, a board-certified bariatric and gastrointestinal surgeon and founder of Prime Surgic Care, to make sense of what actually works for sustainable weight loss and better metabolic health when real life, real budgets, and real habits collide. We talk candidly about how GLP-1 receptor agonists affect the role of weight loss surgery, why access and insurance changes can derail progress, and why many people need ongoing medication to maintain results. Sean explains how he assesses whether someone is best suited to bariatric surgery, GLP-1 therapy, or a combination, including the importance of psychological readiness and structured follow-up. If you have ever wondered why some people keep weight off for a decade while others regain, his “escalator” analogy gives a clear, memorable answer. Nutrition and lifestyle medicine run through the entire conversation. We dig into a whole foods, plant-forward approach, how processed food culture shapes chronic disease, and why exercise supports health even when diet drives most weight change. We also explore the business realities behind modern obesity treatment, from corporate consolidation to how small practices can use technology and AI to improve care without losing the human touch. If this conversation helps you think differently about obesity care, medical weight loss, bariatric surgery, or long-term weight maintenance, subscribe, share it with a friend, and leave us a review. What tool or habit has made the biggest difference to your health journey?👤 Guest BiographyDr Seun Sowemimo is a board-certified bariatric and gastrointestinal surgeon and founder of Prime Surgicare in New Jersey. With advanced training in surgery, metabolic health, and healthcare leadership, he combines surgical expertise with lifestyle medicine and medical weight management strategies, including GLP-1 therapies. Dr Sowemimo is passionate about helping patients achieve sustainable health improvements through evidence-based obesity treatment and comprehensive long-term care.LinksWebsite: https://primesurgicare.comLinkedIn: https://www.linkedin.com/in/seunsowemimo/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.