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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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Wellstar Kennestone Achieves ANCC Magnet Recognition® for Nursing Excellence

Wellstar Kennestone Regional Medical Center has achieved recognition from the ANCC Magnet Recognition Program®, joining an elite group of hospitals known for delivering the gold standard in nursing excellence and patient care. This honor confers Magnet® recognition status on Wellstar Kennestone, making it the second Wellstar hospital to achieve this designation, alongside Wellstar Paulding Medical Center.

This is the highest distinction a hospital can receive for nursing excellence and quality patient care—earned by fewer than 10% of hospitals nationwide. For patients and families, receiving care at a Magnet-recognized hospital means:

  • Better health outcomes
  • Higher patient satisfaction
  • Shorter hospital stays
  • Access to some of the best nurses and healthcare professionals in the field

During the rigorous evaluation process, Wellstar Kennestone received seven special commendations ranging from strong leadership and team collaboration to advancing professional practice and delivering measurable improvements in patient care. These commendations reflect Wellstar Kennestone’s commitment to innovation, collaboration and clinical excellence—qualities also demonstrated at Wellstar Paulding as part of our Magnet hospital family.

For our community, this recognition is more than a milestone—it reaffirms that the people of Cobb County and the surrounding areas can count on world-class healthcare close to home at Wellstar. Magnet recognition also strengthens our ability to recruit and retain top-tier nurses and providers, further supporting the region’s health and economic well-being.

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Highlights

Personalized Breast Care Close to Home at Wellstar North Fulton

By Wellstar Breast Surgeon Dr. Laura Pearson

I have never met a woman who enjoyed getting mammograms, including myself. They can be uncomfortable, awkward and anxiety-provoking—especially if you have had scares in the past or are at high risk for getting breast cancer.

There are so many additional resources for risk reduction and surveillance available that go hand-in-hand with mammograms. At Wellstar, reducing your risk and screening for cancer starts with a physical from your primary care doctor.

If you are at average risk of developing breast cancer, you should begin annual screening mammograms at age 40. If you have a family history or other risk factors, your doctor may recommend earlier or more frequent screening. If something is detected on a mammogram, the Wellstar Comprehensive Breast Health Program has nurse navigators who will help arrange diagnostic imaging, biopsy procedures and referrals to breast specialists. If you are diagnosed with cancer, the compassionate and oncology-trained nurse navigators with Wellstar Cancer Care walk patients through diagnosis, evaluation, treatment and beyond.

If you’re diagnosed with breast cancer, your treatment and care will transition from our Comprehensive Breast Health Program to the Wellstar Cancer Care team. In Wellstar STAT Clinics, which stands for Specialty Teams and Treatment, we put you at the center of your care plan. In our STAT Clinic for Breast Cancer, the care team, including breast oncology nurse navigators, surgeons, medical and radiation oncologists, nutritionists and genetic counselors, will meet with you and your support system on the same day to formulate a treatment plan personalized to your specific cancer, as well as your personal and cultural needs. Patients are able to ask questions, make decisions and start treatment sooner, improving outcomes.

Many times, surgical intervention can be done as an outpatient procedure. We can also offer some people intraoperative radiation therapy, or IORT—the option of doing their radiation treatment in the operating room at the same time as their lumpectomy, meaning they are able to avoid four to six weeks of radiation treatments. Any other interventions, such as chemotherapy or radiation, including our CyberKnife for treatments like targeted partial breast radiation therapy, are found in the cancer center on Wellstar North Fulton’s medical campus. We have physical therapists, social workers and palliative care specialists who are there for you if the need arises.

Your Wellstar care team can also help you reduce your risk of developing breast cancer. Being overweight or obese or being a smoker can increase your risk. Patients at Wellstar have access to our Center for Best Health to assist in weight management. We also have smoking cessation programs and dietitians waiting to help you make healthier choices that can positively impact your health.

Wellstar provides more than healthcare, PeopleCare—working relentlessly to exceed national standards and our patients’ expectations while remembering the humanity of every patient. We are here for all the situations and stages of our patients’ lives by offering the tools and resources to be healthy and thrive. Wellstar clinicians live in the communities we serve. We must get physicals, mammograms and biopsies. We need help being our healthiest selves. We get sick and have family members who need compassionate care. PeopleCare means offering our patients world-class healthcare in the communities where they live and work.

Your care team can put your mammogram order in Wellstar MyChart to book online, or you can schedule by calling (678) 581-5900.

Visit wellstar.org/northfultoncancercare to learn more about cancer care at Wellstar North Fulton.

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New Medical College of Georgia Campus Opens at Wellstar Kennestone

Newsroom

New Medical College of Georgia Campus Opens at Wellstar Kennestone

MARIETTA, Ga. — With applause, camera flashes, and a ceremonial snip of the ribbon, Augusta University’s Medical College of Georgia (MCG) officially launched its newest two-year clinical campus Tuesday at Wellstar Kennestone Regional Medical Center. The campus is MCG’s first in the Atlanta area.

The celebration of the new campus–known as MCG Atlanta at Wellstar Health System–marked a bold step forward in expanding medical education into the heart of Metro Atlanta, where 48 third- and fourth-year students will now live, learn and care for patients as part of their training. Their areas of focus will include internal and family medicine, pediatrics, surgery, obstetrics and gynecology, psychiatry and neurology.

The event brought together leaders from Augusta University, the University System of Georgia and Wellstar Health System to celebrate the launch of MCG Atlanta at Wellstar Kennestone.

“This is a moment of pride, but also a moment of responsibility. Pride in the years of dedication, collaboration and vision that have brought the Atlanta campus to life, and in our students, faculty and partners who believed in this mission before it was fully realized," said Augusta University President Russell T. Keen. "Now, we have the possibility, the opportunity and the responsibility to do even more to strengthen the physician pipeline for Georgia."

University System of Georgia Chancellor Sonny Perdue praised the collaboration as a model for the state’s future.

“It’s a great day to celebrate,” said Perdue. “We look forward to the leadership here at Wellstar Kennestone and know that great things will happen here.”

“When we joined forces with Augusta University, we promised to expand access to care, increase educational capacity and build a stronger healthcare workforce for Georgia. This campus is a powerful example of how we’re keeping that promise," said Candice L. Saunders, president and CEO of Wellstar Health System. “We’re honored to help train future generations of caregivers for every corner of Georgia.”

Following the ceremony, guests toured the new campus suite at 61 Whitcher St. The expansion builds on a decade-long relationship between MCG and Wellstar Kennestone, where students have been getting first-hand experience since 2015.

MCG’s statewide network now includes four-year campuses in Augusta, Athens and Savannah, and regional clinical campuses in Albany, Brunswick, Dalton, Rome and Savannah, making it one of the largest medical school networks in the country.

"MCG has the fourth largest class size in the nation," said MCG Dean David Hess. "That would not be possible without regional clinical campuses like this one. By increasing our capacity to educate more medical students, we’re directly addressing the physician shortage that affects communities across the state. More students mean more graduates, and more graduates mean more doctors ready to serve Georgia."

New Medical College of Georgia Campus Opens at Wellstar Kennestone

Classroom and collaboration spaces at MCG Atlanta at Wellstar Health System
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