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Article Category: Highlights

What to Expect from Obesity Treatment

Published on May 07, 2025

Last updated 01:40 PM May 07, 2025

A smiling patient shakes hands with her healthcare provider.

Friendly photo of Dr. Alicia Shelly, and reads The Weekly Check-up Atlanta


Dramatic weight loss stories from people taking new obesity and diabetes drugs have many patients asking their healthcare providers, “Could these be right for me?”

Dr. Alicia Shelly, an internal and obesity medicine physician at Wellstar, joined host Bruce Feinberg, DO, on 95.5 WSB’s The Weekly Check-Up to talk about it all, including:

  • What to expect from obesity treatment today
  • Medication options and costs
  • How lifestyle coaching fits into treatment
  • When bariatric surgery may be appropriate

“Obesity is a chronic disease,” said Dr. Shelly. “There are multiple reasons why people gain weight and why it's harder for them to lose weight. But know that you don’t have to do it alone.”

What to expect at your obesity appointment

Your first visit to Wellstar Center for Best Health will typically last 30 to 45 minutes, and you’ll be asked about your:

  • Medical history
  • Past experiences trying to lose weight
  • Lifestyle, including exercise, sleep and eating habits
  • Stress and mental health

“If you’re struggling with obesity, this is probably not your first time trying to lose weight,” said Dr. Shelly. “We want to understand your journey with weight loss.”

The physical exam includes measuring a body’s composition of fat, muscle and water. She explained that a healthcare professional wants to know where you carry fat. Patients with a high proportion of stomach fat or visceral fat have a greater risk of heart disease, stroke, diabetes, high blood pressure and other conditions.

Obesity medications take center stage

If you’re like many who come to Wellstar, you’ve heard about injectable medications like Wegovy and others. Similar medicines that can be taken by mouth are in clinical trials.

The drugs are called GLP-1s, which is short for glucagon-like peptide-1 receptor agonists. They act like a natural hormone that regulates appetite, slows stomach emptying and decreases insulin levels. As a result, many patients feel full longer, eat less and have better blood sugar control.

“The medications help turn off cravings and your appetite,” Dr. Shelly said. Patients also report less mental “noise” about food, such as musing after breakfast, “What am I going to eat for lunch?"

Without insurance coverage, GLP-1s can cost around $1,000 a month. If you have insurance that covers some or all of the drugs’ costs, you may need your insurance plan’s approval in advance. Wellstar nurse navigators can help you with this process.

If you can’t afford newer medications, there are additional options among older and less costly medications approved for weight loss.

Dr. Shelly noted that if cost and insurance weren’t barriers, she’d probably recommend medication for 75% of her patients. “Many people have already done a lot of diets and exercises in the past to lose weight, but the weight keeps coming back. And that’s because obesity is a chronic disease.”

Nutrition, exercise and behavioral healthcare are all part of obesity treatment

Healthy weight loss takes a combination of approaches, not just prescriptions, according to Dr. Shelly. If you are treated for obesity at Wellstar you’ll likely visit several clinicians, including:

  • A registered dietitian for personalized nutrition and meal planning
  • An exercise physiologist who develops routines that meet your physical condition
  • A psychologist who can help you with motivation, handling cravings and other behavioral factors in weight loss

A dietitian can help you understand the effects of food choices. Dr. Shelly referenced studies showing that eating high amounts of processed food, even with low calories, can hinder weight loss. She recommends cooking at home with fresh food and avoiding vending machines and fast food.

Lack of sleep is another overlooked issue in weight management. “Studies show that when you're sleeping under five hours, your hunger hormone increases, then your weight also increases,” she said. A behavioral health specialist can help you work on improving your sleep health if needed.

Have weight loss drugs eclipsed bariatric surgery?

For years, bariatric surgery on the stomach or intestines has been used to induce weight loss.

Bariatric surgery patients can lose an average of 30 to 35% of their body weight. This is higher than the average loss of patients taking the latest medications. Insurance plans often cover surgery because of the costly and serious medical complications of obesity.

Dr. Shelly stressed that care teams work with you to create treatment plans that fit your conditions, medical histories and personal situations. Then, your care team sticks by you throughout treatment.

She also encourages you to visit your doctors and learn more about new ways to treat obesity. “At Wellstar Centers of Best Health, we’re ready and able to help you,” she said.

To hear more from Dr. Shelly, you can listen to her podcast, “Back on Track: Achieving Healthy Weight Loss.”

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Alicia Dawonne Shelly Media Room
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Health Equity Is Good for Healthcare Business—And Better Care for Everyone

As healthcare evolves, hospital systems prioritize not only the level of care they provide, but also how well they respond to the needs of the people they serve.

This is true with programs like Anthem Blue Cross and Blue Shield’s Quality-In-Sights: Hospital Incentive Program (Q-HIP), which scores organizations’ health equity efforts.

When we invest in equitable care, our patients receive better treatment, our team members feel supported and we have additional resources that we can use to improve care.

Why do programs rewarding health equity matter?

Programs like Q-HIP recognize healthcare organizations for delivering high-quality, patient-centered care. Rather than focusing on how many patients are seen, these models score performance across quality, safety, outcomes and experience.

Programs like Q-HIP align with Wellstar's mission to enhance the health and well-being of every person we serve.

Health equity’s role in Anthem’s Q-HIP program

Q-HIP has recognized Wellstar with a reimbursement bonus point for health equity, acknowledging our efforts to reach underserved patients and tailor our care to the communities and people we serve.

“Programs like Q-HIP make it clear that equity work isn’t separate from performance—it’s part of how we deliver quality and earn the resources we reinvest back into patient care,” said Mindy St. George, Wellstar assistant vice president of managed care.

The Q-HIP health equity assessment evaluates whether health systems:

  • Commit to advance health equity
  • Collect and analyze demographic and social needs data
  • Look at quality measures to identify disparities
  • Work to improve disparities and gaps in care
  • Involve leadership in equity efforts

To provide high-quality care, you need to address inequities.

Wellstar’s approach: Equity as responsiveness

At Wellstar, health equity is part of everything we do. Through Wellstar Community Health and Center for Health Equity, equity is embedded into how we design care, improve quality, engage leadership across the system and analyze data.

We focus on understanding who we serve, identifying barriers to care and continuously improving how services are delivered.

“Health equity is not an add-on to our work—it’s how we deliver better care,” said Elise Lockamy-Kassim, Wellstar assistant vice president of community health and Center for Health Equity. “When healthcare systems are responsive to people’s needs, outcomes improve, care becomes more efficient and everyone benefits.”

Why equity investments benefit everyone

When patients can access care more easily and feel like their clinicians care about them, they’re more likely to get the preventative care they need. This helps them manage chronic conditions like diabetes, stay ahead of disease and avoid unnecessary hospitalizations.

Equity-driven improvements also support Wellstar team members by improving workflows and enabling us to invest resources in our people.

“When we focus on health equity, we’re strengthening the entire system,” said Dr. Earl Stewart, Wellstar medical director of health equity. “Better data and better responsiveness lead to better care—for every patient, every time.”

Why continued investment matters

Programs like Q-HIP make it clear: Equity performance is quality performance and quality performance is rewarded.

For Wellstar, continued investment in health equity means:

  • Stronger performance in programs like Q-HIP
  • Resources to reinvest in team members and care
  • Better outcomes for patients across all communities
  • A healthcare system that is responsive, resilient and sustainable

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ATLANTA – Oct. 1, 2026 – Atlanta City FC has selected Wellstar Health System, a nationally-ranked and locally recognized healthcare provider based in Georgia, as the official healthcare provider of the club.

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Women’s health is about recognizing that women have unique healthcare needs at every stage of life,” said Paula Greaves, MD, Chief of Women’s Health for Wellstar Health System. “By partnering with Atlanta City FC, we have an opportunity to bring together our expertise across women’s health, sports medicine and specialty care to support these athletes as whole people, not simply as competitors. This partnership also provides us with opportunities to engage with and support women of every age and background as we rally behind our new hometown NWSL team, on and off the pitch.”

As Atlanta City FC continues building its club and community presence ahead of its inaugural season, Wellstar will play an integral role in supporting the health and wellbeing of players and the broader community through a shared commitment to excellence, community impact and service. Together, the organizations will develop opportunities to expand access to women’s health resources, promote healthy lifestyles and create meaningful community impact.

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