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Article Category: Highlights

6 Weight Loss Questions Answered by Our Experts

Published on September 26, 2025

Last updated 01:19 PM September 26, 2025

A young woman lifts weights in the gym

People who want to lose weight have more options than ever before. However, deciding which one to pursue can be a challenge. Should you go for lifestyle changes alone? Consider weight loss surgery? Or look into injectable weight loss drugs like Ozempic and Wegovy?

We asked two Wellstar physicians to weigh in on this popular topic—and their answers might surprise you. Dr. Lisa Hilton is director of minimally invasive and bariatric surgery at Wellstar MCG Health Medical Center and director of the Center of Obesity and Metabolism at Augusta University. Dr. Mitzi Rubin is a family medicine physician and director of the Wellstar Center for Best Health. Here’s what these two experts have to say about obesity, treatment options and the importance of a comprehensive approach to weight loss.

Let’s cut to the chase: What is the best way to lose weight?

Dr. Rubin: There is no magic fix that works for everyone. Many people have tried every fad diet out there. They’ve tried being more active. Maybe they’ve even had bariatric surgery or used injectable weight loss drugs—but nothing works. If this sounds like you, schedule an appointment at a comprehensive weight loss center. Find one that offers medical and surgical treatment options and personalized recommendations. And make sure they provide ongoing support to help you meet and maintain your weight loss goals.

Dr. Hilton: Both of our centers take this comprehensive approach. We use every tool available to treat obesity. You may be successful with lifestyle changes alone, or perhaps you need to meet with a behavioral therapist or consider surgery, medicine or a combination of therapies. Everyone is unique, and their treatment plan has to be unique too.

What’s your take on weight loss injectables—are you a fan?

Dr. Rubin: I’m excited about drugs like Wegovy and Ozempic, which people sometimes refer to as GLP-1s. They work because they control your appetite and reduce ‘food noise,’ a persistent, unwanted focus on food.

However, not everyone can tolerate the side effects, which include nausea, constipation and diarrhea. If you want to lose more than 20% of your body weight, using one of those drugs alone probably won’t get you there. Another consideration is that many people need to continue taking these drugs for life—even after they reach their weight loss goals.

What are some misconceptions about bariatric surgery?

Dr. Hilton: Two big misconceptions are that bariatric surgery is dangerous and it doesn’t work. Here’s what I’d say: First, bariatric surgery is as safe as a routine procedure like gallbladder removal. Second, bariatric surgery is the most long-lasting and effective treatment for obesity available. Most people who have bariatric surgery maintain their weight loss at the 10-year mark.

With weight loss drugs dominating the headlines, have you noticed a shift away from surgery?

Dr. Hilton: Yes, but I think that’s temporary. The drugs are sparking conversations about obesity and weight loss, which is a good thing. Patients who have never considered bringing up obesity to their primary care provider are asking about the injectables. They’re making appointments at a comprehensive weight loss center, and they are discovering they have a lot of choices. It isn’t ‘medicine or surgery’ or ‘medicine versus surgery.’ Sometimes the best answer is both.

Can you share a weight loss success story with us?

Dr. Rubin: We’ve had so many success stories. One of our rock star patients has lost 250 pounds under our care. Now, she’s living her life again. Her diabetes is in remission, and her cholesterol has improved. She’s no longer depressed and isolated. My whole team is so proud of her—she has completely changed her lifestyle, sees our dietitian regularly and attends our support group. Another patient has lost 135 pounds. He and his wife are losing weight together, and it’s fantastic.

Dr. Hilton: We ask our patients at their first visit, ‘What does success look like to you?’ Most have a number in mind, but non-scale victories are important too. Some want to get off their diabetes medicine or shop in a regular store instead of a big and tall store. Others want to take their kids to Disney World or a water park and have fun on the rides—not just watch.

What is the No. 1 key to weight loss success?

Dr. Rubin: The key is to make lasting lifestyle changes. Medication and bariatric surgery can only get you so far. If you are ready to make these changes, consider finding a team who offers personalized, long-term support. Dr. Hilton, myself and others at Wellstar are here to help!

Ready to take your first step? If you’re considering lifestyle changes, medication or surgery for weight loss, it all starts with a conversation. Schedule a visit with your primary care clinician to discuss your goals, health history and next steps.

Tags

Mitzi Beth Rubin Lisa Renee Hilton Womens Health
Primary Care
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Mammograms

When should I start getting mammograms?

Unless you have a new breast problem or need to start screenings earlier because of risk, most guidelines recommend starting screening mammography at age 40.
How often should I get a mammogram?

Guidelines differ somewhat but are consistent that if you are of average risk, you should have them at least every other year.  If you are at increased risk, including having dense breast tissue or a family history of breast cancer,  it is recommended that you get an annual mammography screening and possibly enhanced screenings with MRI, ultrasound or contrast enhanced mammography.

Is getting a mammogram dangerous to my health?

While there is a small radiation exposure with every mammogram, the benefit of early detection of small, curable cancers almost always outweighs that risk of exposure.

Does it hurt to get a mammogram?

Some women do find mammograms uncomfortable.  This is more common when having imaging just before your menstrual period when breast tissue can be swollen and more sensitive.  If you do have extra sensitivity, scheduling the exam after your cycle starts or taking an over-the-counter NSAID pain reliever* a few hours before the exam may minimize the discomfort.  Because positioning of the breast and taking each mammogram image is typically less than 30 seconds, the extent of discomfort during the exam is short-lived.

*NSAIDs are nonsteroidal anti-inflammatory drugs, like ibuprofen (Advil, Motrin), naproxen sodium (Aleve) and aspirin.

Breast self-exam options

What is the correct technique for a breast self-exam?

Any pattern for feeling all of your breast tissue is acceptable. The goal is to make sure you are feeling with varying pressure from your collar bone to cleavage, to the bottom of the breast out to past where your breast meets your chest wall, including your armpit.

How often should I do a breast self-exam?

Self-exams should not be done too often because it can make it difficult to tell if a lump is evolving over time. Think of how hard it is to tell if your appearance changes gradually as you get older because you see yourself every day, compared to more easily seeing changes in someone’s appearance after not seeing them for a long time. Typically, once a month is enough.

Is there a best time to do a breast self-exam?

 It is important to do your breast self-exam in approximately the same time in your cycle rather than a specific interval—especially since not all menstrual cycles are exactly 28 days apart.  Doing the exam at the same place in your cycle will give you consistency in how the tissue should feel in terms of lumpiness, texture and density. 
I encourage my patients to do their exam the day after their cycle starts as a consistent point in their hormonal cycle fluctuations.

What am I actually looking for during a breast self-exam?

Your breast self-exam should be a tool to familiarize yourself with the general “normal texture” of the tissue in each of your breasts so if you detect something that is different, you will be able to identify it as new or changed. 

Can a breast self-exam replace a mammogram?

Self-breast exams cannot replace mammograms because mammograms can detect subtle changes like densities or calcifications that are too small to feel. The goal with screening mammograms is to detect breast cancer before you can feel it because early detection leads to better overall outcomes.
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To serve our community’s growing healthcare needs, Wellstar opened new urgent care, primary care and pediatric cardiology locations at 76 East Paulding Drive in Dallas.

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Services include wellness exams, vaccinations, treatment for illnesses like the flu, management of chronic conditions such as diabetes and mental health support.

Schedule an appointment at our new primary care location in Dallas by calling (943) 202-9020. 

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Our pediatric cardiology experts can evaluate and create comprehensive treatment plans for children and teenagers with congenital heart defects, arrhythmias (heart rhythm disorders), chest pain, heart palpitations, high blood pressure/cholesterol, fainting, cardiomyopathies and heart failure as well as fetal (prenatal) cardiology. Wellstar Children's of Georgia pediatric cardiology specialists provide comprehensive, coordinated care with a multidisciplinary team, which may include pediatric heart surgeons and electrophysiologists (heart rhythm specialists), as well as medical geneticists, pediatric nurses and dietitians.

Schedule an appointment at our new pediatric cardiology location in Dallas or call (470) 956-9171.

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Hampton
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Benefits of a primary care clinician

The main role of a primary care clinician is to keep you healthy at every age and stage of life. To keep you feeling your best, these experts are trained to:

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  • Coordinate care and provide referrals for specialists. Your primary care team can quickly and seamlessly get you in touch with the robust network of medical experts, such as cardiologists, oncologists, neurologists and more at Wellstar.
  • Keep you up-to-date on immunizations and vaccinations. You can build up your body’s immunity to common diseases and protect your health with the latest vaccines, all ordered by your primary care clinician.
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