The Better Living PA: GLP-1s, Metabolic Health & Midlife Hormones
by Tiffany Bailey, PA-C
GLP-1s, metabolic health, perimenopause and menopause, explained by a Board Certified Physician Assistant. On The Better Living PA, Tiffany Bailey PA-C breaks down what the research actually says and what real patients experience, so you can make informed decisions about your health. Expect myth-busting deep dives on GLP-1 medications, side effects, protein and muscle, hormones and midlife health, plus honest conversations with patients, experts and advocates. For education only, not medical advice. Watch on YouTube @thebetterlivingPA | Links: linktr.ee/TiffanyBaileyPA
Episodes
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Ebony's First Month on a GLP-1: A Single Mom, 10 Pounds Down and No More Sweet Cravings
Meet Ebony, a single mom from New York who is right at the beginning of her GLP-1 journey. She was a stress eater who craved sweets, and extra weight made her sciatica worse. Her doctor said insurance wouldn't cover a GLP-1 and it would cost about $300 a month, so her sister referred her to…
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Tiffany's GLP-1 Story: Hypothyroidism, a Provider Who Said "Work Harder" and 44 Pounds Down
Meet Tiffany, a 39-year-old respiratory therapist and mom from rural Nebraska. She developed hypothyroidism after her pregnancy, gained weight during COVID, and when she asked her provider for help, she was told to eat less and move more. She was already doing everything right, so she tried…
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Nicole's GLP-1 Journey: From Liraglutide to Semaglutide to Tirzepatide
Nicole started with liraglutide, then went looking for a more affordable option and moved to semaglutide through an online provider. She's since switched to tirzepatide and has lost 50 pounds so far, and as she says, she's not done yet. Nicole is also a special education teacher, so her routine...
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Jerry's GLP-1 Story: A Trucker's 50-Pound Turnaround After 24 Years on the Road
Jerry has been an over-the-road truck driver for 24 years. Night shifts, truck stop buffets, two packs of cigarettes a day and years of stimulants to stay awake finally caught up with him: a DOT physical flagged high blood pressure, he ended up on four blood pressure medicines, and a failed sleep...
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Tiffany's GLP-1 Microdosing Story: Losing Weight and Her Joint Pain on a Low Dose
Meet Tiffany, a mom of four boys from Western North Carolina who lost weight and got her life back from joint pain by microdosing a GLP-1. After almost four years of FASTer Way to Fat Loss, macros, food logging and a strict local weight loss program, she kept hitting the same plateau and…
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GLP-1 Side Effects: What's Normal & How to Manage Them with Brittany Rose
What do you do about GLP-1 side effects? In this live conversation, Brittany Rose and I get honest about the most common side effects of semaglutide and tirzepatide, what's normal, and practical ways to manage them. Nausea, sulfur burps, constipation, reflux, fatigue and even skin sensitivity are...
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Steve's GLP-1 Story: Insurance Said No, So He & His Wife Lost 121 lbs Together
Steve is 64, a software developer in Scottsdale, Arizona, and he's been married for 39 years. When his doctor suggested tirzepatide for his weight and sleep apnea, his insurance said no: he wasn't diabetic, and they wanted him to try an amphetamine diet pill first. So Steve and his wife found...
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Compounded GLP-1 Lawsuits: Should You Worry? What Actually Matters with Maria Rising
Every week there's a new GLP-1 lawsuit headline, and if you're on a compounded GLP-1 it can feel like your access could disappear overnight. Should you worry? Tiffany Bailey, PA-C, sits down with Maria Rising, creator of Tirzepatide Tales, who closely tracks about 30 of these cases, to break down...
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Phentermine: What You Really Need to Know (Side Effects, Fen-Phen & GLP-1s)
Is phentermine safe for weight loss, and how is it different from GLP-1s like semaglutide and tirzepatide? Tiffany Bailey, PA-C, breaks down what phentermine is, how it works, what the FDA label actually says about short-term use, and what the research shows. Phentermine is an older…
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Can GLP-1s Cause Depression? The "GLP-1 Blues" & What the FDA Found
Can GLP-1 medications like semaglutide and tirzepatide cause depression, anxiety or that flat, "blah" feeling some people call the GLP-1 blues? In this episode, Tiffany Bailey, PA-C, breaks down what the latest research shows, including the FDA's January 2026 review of 91 placebo-controlled…
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Tammy's Story: Bariatric Surgery, GLP-1s & Losing 150 Pounds
After years of living with obesity and Hashimoto's disease, Tammy had vertical sleeve gastrectomy in 2020. Bariatric surgery helped her lose weight, but she realized it hadn't fully addressed the complex biological factors behind her obesity. Eighteen months after surgery, she started GLP-1...
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GLP-1s Before and After Surgery: When to Stop and When to Restart
If you take a GLP-1 medication and have surgery or a procedure coming up, when should you stop it, and when is it safe to restart? In this episode, I explain why GLP-1 medications matter when you receive general anesthesia or deep sedation. The primary concern isn't bleeding or wound healing.…
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Breast Cancer Screening: When to Start Mammograms & Are You High Risk? With Dr. Kristen Williams
When should you start getting mammograms, and how do you know if you're at high risk for breast cancer? In this episode, Tiffany Bailey, PA-C, sits down with Dr. Kristen Williams, MD, a general surgeon whose practice focuses on breast health, to break down breast cancer screening and what every...
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Abbs' GLP-1 Story: When Working Out and Dieting Weren't Working
Abbs is a registered nurse with a master's degree who spent much of her twenties slowly gaining weight without realizing how much it could eventually affect her health. Then the pandemic hit. Working in healthcare during such an overwhelming time took a toll, and her weight kept climbing....
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Jalen Hurts' Blood Clots Explained: DVT, Pulmonary Embolism & Who's at Risk
Philadelphia Eagles quarterback Jalen Hurts was diagnosed with a deep vein thrombosis (DVT) and blood clots in both lungs after what first looked like a routine calf injury and a superficial clot. As a board-certified physician assistant, I walk through the publicly reported timeline and explain,...
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Answers to the Most Frequently Asked Questions About GLP-1s
Are GLP-1 medications cheating? Will you regain the weight if you stop? Are compounded GLP-1s safe? Can you get addicted to semaglutide or tirzepatide? In this episode, I break down the most frequently asked questions about GLP-1 medications in a simple, science-based way. If you're considering a...
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How to Talk to Your Daughter About Her Period: When to Start & What to Say with Educator Janet Throgmorton
Not sure how to talk to your daughter about her period, or when to start? I'm Tiffany Bailey, a board certified physician assistant, and in this episode I sit down with educator Janet Throgmorton (Mrs. Janet), who spent 31 years in schools as a teacher, elementary principal and high school...
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GLP-1 Maintenance: Plateau vs. Maintenance & 4 Ways to Keep the Weight Off
Your weight has stopped moving on your GLP-1. Are you in maintenance, or are you in a plateau? I'm Tiffany Bailey, a board certified physician assistant, and in this episode I break down the difference between a weight loss plateau and planned GLP-1 maintenance, what the research shows about...
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Carolina's Story: Gastric Bypass, Weight Regain & Finding GLP-1s
Carolina struggled with obesity from childhood and spent years searching for a sustainable way to manage her health and weight. Eventually she traveled to Mexico for gastric bypass surgery, and went from 320 to 165 pounds. But she discovered surgery wasn't a permanent fix for the biological and...
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Can GLP-1s Cause Blindness? An Eye Doctor Explains the Real Risk of NAION
Can GLP-1 medications like semaglutide and tirzepatide really cause blindness? In this episode, Tiffany Bailey, PA-C, sits down with optometrist Dr. Kelly Bugg, OD, to talk about GLP-1s and vision loss, what the research on NAION (non-arteritic anterior ischemic optic neuropathy) actually shows,...
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Is Your GLP-1 Dose Too High? 7 Signs to Watch For
Is your GLP-1 dose too high? A higher dose is not automatically better. Semaglutide and tirzepatide work best at the dose that helps you reach your goals while still letting you eat, drink, function and feel like yourself. In this episode, I walk through 7 signs your GLP-1 dose may be too high…
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GLP-1 Microdosing & Menopause: Weight Gain, HRT & Tirzepatide with Dr. Pat Taylor
Can GLP-1s help with perimenopause and menopause? In this live conversation, I'm joined by Dr. Pat Taylor, a board-certified family physician specializing in obesity, menopause and metabolic medicine, to talk about GLP-1 therapy, microdosing, menopause and metabolic health. Perimenopause can…
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Olivia's GLP-1 Journey: 98 Pounds Down on Compounded Tirzepatide
Olivia has been on a compounded tirzepatide journey for over a year and is down 98 pounds. In this conversation she shares her wins, what made her journey hard, and why she now spends her time advocating for GLP-1 patients who need access to care. In this conversation: Researching GLP-1s and...
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Allodynia on GLP-1s: Why Your Skin Hurts to the Touch | PA Explains
Have you noticed your skin feels sore, burning, tingly or sunburned, even when nothing is touching it but your clothes or your sheets? That symptom has a name: allodynia. It's being reported by some people taking GLP-1 medications like tirzepatide and semaglutide, and it can be confusing and...
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What I'd Tell You If You Were Starting GLP-1s Over | PA Advice
Starting GLP-1s, or wishing you could start your GLP-1 journey over? I'm Tiffany Bailey, a board certified physician assistant, and after talking with thousands of people on GLP-1 medications, these are the 10 things patients most often tell me they wish they'd done differently from day one. We...
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The #1 Rule on a GLP-1: Eat Until You're No Longer Hungry, Not Full
The number one rule every GLP-1 user should practice sounds incredibly simple: eat until you're no longer hungry, not until you feel full. Those may sound like the same thing, but they're two very different stopping points, and learning the difference is one of the biggest things that separates a...
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Is GLP-1 Divorce Real? How GLP-1s Can Change Your Relationship | PA Advice
Is "GLP-1 divorce" real? Can a GLP-1 medication like semaglutide or tirzepatide actually change your relationship with your partner? I'm Tiffany Bailey, a board certified physician assistant and GLP-1 advocate, and in this episode I break down the trend some people call "GLP-1 divorce" or…
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Am I Crazy or Is It Perimenopause? Sneaky Symptoms Women Miss
Do you feel like you're going crazy, or like you just don't feel like yourself anymore? It might be perimenopause. I'm Tiffany Bailey, a board certified physician assistant, and in this episode I break down the sneaky perimenopause symptoms so many women in their late 30s and 40s miss: anxiety…
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Should You Get GLP-1s From Telehealth or Your Primary Care? | PA Advice
Should you get your GLP-1 from telehealth or from your primary care provider? You can love your primary care provider and still choose someone else for your GLP-1 care. I'm Tiffany Bailey, a board certified physician assistant who spent 18 years in primary care and internal medicine, and in this...
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Brittany Rose's GLP-1 Journey: Trauma, Healing & 115 Pounds Lost
Brittany Rose has built a community of more than 45,000 YouTube subscribers by sharing her GLP-1 journey with honesty, vulnerability and a refreshing sense of humor. In this deeply personal conversation, Brittany opens up about the childhood trauma that shaped her relationship with her body and…
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The Truth About Split Dosing GLP-1s: Semaglutide & Tirzepatide Explained
Split dosing GLP-1s has become one of the biggest trends in the GLP-1 community, but is it actually necessary? In this episode, I break down what split dosing semaglutide and tirzepatide really does, and why most people don't need it. We talk about why some people feel their medication "wears…
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Is It Body Dysmorphia? Why You Still See Your Old Body After GLP-1 Weight Loss
Have you lost weight on a GLP-1 but still feel like you're living in your former body? Maybe you reach for your old clothing size, struggle to recognize yourself in photos, or look in the mirror and can't see how much your body has changed. Is this truly body dysmorphia, or is your brain simply...
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Food Is No Longer My Enemy: Teri's 95-Pound Tirzepatide Journey
For most of her life, Teri felt like food was the enemy. Today, after losing 95 pounds with the help of a GLP-1 medication, she finally feels in control. Teri is a retired teacher who calls her GLP-1 a "miracle drug," but her transformation is about so much more than a number on the scale. She...
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Spilling the GLP-1 Tea with Maria Rising: Compounded GLP-1s, Access & What's Next
We're spilling the GLP-1 tea, but this conversation goes much deeper than gossip. I sit down with Maria Rising, the smart and funny creator behind Tirzepatide Tales with Maria. Maria has a gift for finding the details most people miss and making complicated GLP-1 research, policy and regulatory...
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What Dieting Couldn't Fix: Holly's Prediabetes, Tirzepatide & GLP-1 Story
Holly struggled with her weight from puberty on. Weight Watchers, calorie deficits, every approach she tried, and nothing ever felt sustainable. Then her doctor told her she was prediabetic. When her insurance denied coverage for a GLP-1, Holly turned to telehealth. In this interview she shares...
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Bigger Than Weight Loss: Food Noise, Weight Stigma & GLP-1s with Kim Carlos
GLP-1s can change the number on the scale, but for many people the biggest changes happen somewhere much deeper. In this episode, I sit down with Kim Carlos, award-winning podcast creator, GLP-1 advocate and host of The Plus SideZ Podcast, to talk about the side of obesity treatment we don't talk...
About this show
GLP-1s, metabolic health, perimenopause and menopause, explained by a Board Certified Physician Assistant. On The Better Living PA, Tiffany Bailey PA-C breaks down what the research actually says and what real patients experience, so you can make informed decisions about your health. Expect myth-busting deep dives on GLP-1 medications, side effects, protein and muscle, hormones and midlife health, plus honest conversations with patients, experts and advocates. For education only, not medical advice. Watch on YouTube @thebetterlivingPA | Links: linktr.ee/TiffanyBaileyPA
Hosted by
Tiffany Bailey, PA-C