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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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Genetic Testing: A Critical Tool in Cancer Treatment

It's been over three decades since genetic testing was first introduced as a tool for patients at risk of hereditary cancer syndromes. In its early days, genetic testing was expensive and time-consuming (often taking up to eight weeks for results). Fast forward to today and genetic testing is now a routine part of cancer care. It’s more accessible, comprehensive and, perhaps most importantly, significantly impactful for patients and their families.

Physicians help identify patients who could benefit from genetic testing, especially when someone has a personal or family history of cancer. Genetic testing can improve treatment outcomes, guide preventive care and provide vital information for the patient's family.

Benefits of genetic testing

1. Understanding the cause of cancer

One of the most common questions from patients newly diagnosed with cancer is, "Why did this happen to me?" While many cancers are the result of environmental factors, aging and sporadic mutations, genetic testing can offer a more definitive answer. For patients with hereditary cancer, knowing their cancer is genetically driven can help ease feelings of uncertainty and guilt. 

For many, this knowledge brings a sense of empowerment, as they now have the opportunity to make informed decisions regarding their treatment and potential preventive measures for the future. This hereditary cancer risk was present since birth, and there was very little if anything the patient could have done differently throughout their life to prevent their diagnosis.

2. Personalized treatment options

For patients with cancers like breast, ovarian, pancreatic and prostate, identifying genetic mutations (like BRCA mutations) can open the door to personalized therapies. The earlier in the diagnostic process the genetic test is ordered, the quicker the patient can be matched with appropriate treatments.

Knowledge of genetic mutations can also guide surgical decisions. Patients with BRCA-positive breast cancer may be candidates for risk-reducing mastectomy or salpingo-oophorectomy—both of which can lower the risk of future cancers. These decisions are most effective when genetic results are available before surgery.

3. Identification of additional cancer risks

Cancer does not always occur in isolation, especially in patients with hereditary cancer syndromes. For instance, patients with Lynch syndrome, a leading cause of colorectal cancer, are also at increased risk for uterine cancer—up to 60%. If identified before a colon resection, this knowledge could allow a hysterectomy at the same time if necessary, minimizing the risk of a second cancer and optimizing care.

Beyond immediate cancer treatment, genetic testing can also lead to additional screenings that might otherwise be missed. For example, the ATM gene is a known contributor to prostate and breast cancer.  But patients with an ATM gene mutation are also at elevated risk for pancreatic cancer. While general population screening is not typically recommended, high-risk patients should begin annual imaging and/or endoscopic ultrasounds as early as age 50 or 10 years before the earliest known pancreatic cancer in their family.

4. Informed decisions for family members

A cancer diagnosis doesn’t only affect the patient—it impacts their entire family. Once a genetic mutation is identified, relatives can undergo testing to assess their own cancer risk and talk to their care teams about screenings. 

Testing the affected patient first is the most informative strategy for relatives. Patients with negative genetic test results can be reassured that relatives are not at significant risk for the same diagnosis. 

The role of genetic counseling in cancer care

Genetic counselors provide the expertise necessary to interpret complex genetic results, discuss the implications for patients and their families, and offer psychological support throughout the process. Genetic counseling not only helps patients make sense of their genetic test results, but also provides them with the tools to make informed decisions about their health.

Counseling also helps address the emotional and psychological aspects of genetic testing, from potential feelings of anxiety to guilt and even empowerment. Research shows that genetic counseling has a positive impact on patient knowledge, reduces anxiety and can improve overall psychological well-being during a cancer journey.

Learn more about genetic counseling at Wellstar. 

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Wellstar Expands Care in West Georgia

To serve our community’s growing healthcare needs, Wellstar has opened a new location in LaGrange with urgent care and primary care services.

“With urgent care and primary care together in one place, we’re making it easier for patients to access the appropriate level of care close to home while strengthening the overall health of LaGrange and the surrounding communities we serve,” said Coleman Foss, president of Wellstar West Georgia Medical Center.

Urgent Care 

Wellstar opened its first urgent care center in LaGrange to help meet the needs of West Georgia. Wellstar Urgent Care provides:

  • Care for minor illnesses and injuries, such as coughs, colds, sprains and broken bones
  • Treatment for medical issues like bites, burns and cuts
  • Flu care
  • Rapid COVID-19 testing for all ages
  • Labs and X-rays
  • Sports physicals
  • Worker’s compensation services

Walk-ins are always welcome, but you also have the option to book a visit online at the time that works best for you. Booking online can help reduce your wait time once you arrive.

Wellstar Urgent Care

2220 Vernon Street

LaGrange, GA 30240

(762) 888-1490

 

Check in at this location 

Primary Care

Primary care is ongoing, comprehensive care and preventative medicine that helps you live a full, healthy life. Visit Wellstar Primary Care for:

  • Non-emergent health concerns 
  • Chronic conditions 
  • Routine checkups and annual wellness exams
  • New or worsening symptoms 
  • Immunizations

Wellstar Primary Care

2220 Vernon Street

LaGrange, GA 30240

(762) 888-1510

Schedule at this location

 

 

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Turn Down the Heat: How Food Can Help With Hot Flashes

Hot flashes and night sweats are common during perimenopause and menopause. They can show up without warning—sudden waves of heat, flushing or sweating that can disrupt your day and leave you feeling uncomfortable.

Symptoms can vary widely in frequency and intensity. “The severity of menopausal symptoms varies among women due to a combination of lifestyle, genetic, psychological and socioeconomic factors,” said Wellstar Women’s Health Nurse Practitioner Karin Hulon.

Among those factors, nutrition plays a key role—and certain foods can influence how often symptoms happen. “Some foods trigger hot flashes,” Hulon said. “Pay attention to your body to see if you can make a connection.”

Helpful foods

A balanced, plant-rich plate can support your body’s natural regulation and may ease symptoms. “Soy is a phytoestrogen that mimics estrogen in our bodies and helps to reduce hot flashes,” Hulon said. “Foods high in antioxidants and omega-3 fatty acids, such as seafood and green leafy vegetables, are also beneficial.”

Options include:

  • Mediterranean-style eating: plant-based foods, healthy fats
  • Soy-based foods: tofu, edamame, soy milk, tempeh
  • Phytoestrogen-rich foods: whole grains, seeds, legumes, berries
  • Omega-3: salmon, chia seeds, avocados, flaxseeds
  • Naturally cooling foods: apples, bananas, carrots, cucumbers, watermelon, pears, romaine lettuce

Mediterranean-style eating can be a practical place to start. “It encompasses plant-based foods and good fats such as avocado and olives, nuts, seeds, beans, legumes, tofu, fruits and fish,” Hulon said. “Even if you do not fully adopt this approach, making some substitutions and adjustments can be helpful.”

Foods to limit or avoid

Certain foods and drinks can trigger or worsen hot flashes, including:

  • Caffeine: coffee, energy drinks
  • Ultra-processed foods: baked goods, sugary drinks, fast food, fried foods
  • Alcohol: wine (especially red wine), beer, liquor
  • Spicy foods: hot peppers, jalapeños, cayenne pepper, hot sauces
  • Nicotine: cigarettes, vaping, smokeless tobacco

“Women should avoid inflammatory foods—processed foods, fried foods, sugar, processed meats, canned foods and restaurant foods,” Hulon said. “Spicy foods, caffeine and alcohol also trigger hot flashes, so limit that intake as well.”

Supporting your well-being

Choosing nourishing foods, staying hydrated and noticing your personal triggers can help your body feel more balanced and comfortable.

Nutrition matters, but it is only one part of your overall health. “Lifestyle changes include smoking cessation, decreased alcohol consumption, exercise, dietary changes and weight loss,” Hulon said. “Decrease inflammation by eating a rainbow of fruits and vegetables, increasing sleep to seven to nine hours per night and reducing stress. Despite good lifestyle modifications, many women may still need menopause hormone therapy support.”

Wellstar offers resources to guide women through this transition. “At Wellstar, refer to the Center for Best Health, where practitioners are trained in helping patients achieve healthy goals and offer behavioral, exercise and nutrition counseling,” Hulon advised. “Additionally, a certified menopause practitioner can help patients navigate menopause hormone therapy.”

Our women’s health experts are here to support you with guidance, compassion and whole-person care. To learn more about menopause care at Wellstar, visit wellstar.org/menopause.

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