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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 Cobb Cancer Center Expands Treatment Services

New radiation technology and refreshed waiting and treatment areas are expanding world-class cancer treatment at Wellstar Cobb Cancer Center.

Cancer care in forward motion

Wellstar Cobb Cancer Center recently installed its second TrueBeam linear accelerator, which treats various cancers, including brain, head and neck, prostate, breast, lung, skin and gastrointestinal tumors. With the linear accelerator, clinicians can adjust the size and shape of beams to a tumor’s shape and spare healthy tissue.

With the second linear accelerator, Wellstar Cobb can offer patients more flexible and convenient scheduling. “An additional linear accelerator can lead to timely treatment starts and shorter wait times,” said Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar. “It expands our ability to treat more patients with cutting-edge care, continuing our commitment to bringing world-class cancer treatment closer to home.”

In addition to state-of-the-art external beam radiotherapy, TrueBeam delivers precise, high-dose stereotactic body radiotherapy (SBRT) targeting tumors in the body. It also provides stereotactic radiosurgery (SRS) for brain or spine cancer treatment. Patients will typically receive one to five treatments.

Patient-centered care at Wellstar Cobb

Wellstar Cobb Cancer Center recently renovated its treatment areas, front desk and waiting room, making it more welcoming and comforting for patients and their families. Within the treatment areas, the suite where patients receive high-dose radiation brachytherapy, a targeted treatment that involves placing radioactive material directly into tumors or near them, also underwent renovations.

“The beautifully designed space enhances patient comfort, offering a calm, supportive environment,” Dr. Onyeuku said. “We’re currently treating breast, cervical, uterine and skin cancers, with plans to expand to other cancer types. It’s advanced, efficient care—delivered close to home and with compassion.”

Early detection and support services

Cancer care begins with prevention and early detection. Wellstar Cobb is home to a lung cancer STAT Clinic, where specialists collaborate to diagnose and begin treatment within as little as 14 days. According to research by the Cleveland Clinic, patients can spend up to eight weeks on average visiting different specialists before starting a treatment plan. Earlier treatment can lead to the best possible outcomes.

Patients at Wellstar Cobb receive support at every stage of their treatment. These services include:

  • Emotional support from a social worker
  • Lymphedema therapy for patients with excess fluid and swelling
  • Meal planning with a dietitian
  • Monthly support group
  • Pain management
  • Physical therapy
  • Transportation assistance

“We have a superb team and state-of-the-art treatment here at Wellstar Cobb Cancer Center. And we’re backed by the resources of a nationally recognized health system,” Dr. Onyeuku said. “We are thrilled that our technology enhancements allow us to serve more people with exceptional cancer treatment.”

Learn more about cancer care in Cobb.

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A young woman smiles with her eyes closed while she listens to headphones with her hands crossed over her heart

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5 Strategies to Strengthen Your Mental Health

Mental health is an essential part of whole-person care. Whether you're feeling overwhelmed or want to build resilience, small steps can make a big impact.

At Wellstar, we’re here to support your mental well-being and help you thrive. Our Behavioral Health team offers specialized care close to home, so you can feel your best both physically and mentally.

Here are five expert-backed strategies to help protect your mental health and strengthen your overall wellness.

Pay attention to early signs of stress.

Recognizing stress early is key to managing it effectively. When stress becomes chronic, it can affect both your mental and physical health. Learning to identify warning signs can help you take action before it escalates.

This is true across all areas of life, including the workplace, where job stress can quietly build over time and lead to more serious mental health concerns if left unaddressed.

“Paying attention to feelings of emotional exhaustion and general cynicism is important,” said Dr. Ryan Breshears, a board-certified clinical health psychologist and chief behavioral health officer at Wellstar. “Those are the foundational signs of occupational burnout, which certainly affects our well-being in the workplace, but when unchecked, can also spill over into our personal lives.”

That spillover can show up as irritability, mood changes, social withdrawal or insomnia. “Any of those could point to a problem that warrants intervention,” Dr. Breshears said.

Treat your whole health to support your mental well-being.

Mental and physical health are deeply interconnected—and we shouldn’t treat them in silos. At Wellstar, integrated care is a key part of our approach.

“I think the days of talking about problems that are physical problems versus mental problems are over,” said Dr. Breshears. “We have a body of research now and decades of science that show the interplay between the physical and the emotional.”

He explained that changes in thinking patterns can trigger physiological shifts in heart rate, stress hormone levels and more. Recognizing these mind-body connections can help you take a more proactive approach to your mental health.

“Wellstar is making a concerted effort to deconstruct old ideas about mental health and remove barriers to access,” Dr. Breshears added. “For example, we’re bringing behavioral health into primary care, cardiac care, pediatrics and women’s health. We want to strategically integrate behavioral health services wherever patients are receiving care.”

By treating the whole person and bringing behavioral health into every corner of healthcare, Wellstar is helping people take charge of their well-being in a way that’s compassionate, connected and convenient.

Prioritize recovery.

Stress is inevitable, and recovery is essential. Without it, your mind and body stay in overdrive, increasing your risk for burnout and long-term health issues. Taking time to recover is not a sign of weakness—it’s a strategy for resilience.

“Our bodies are designed to return to baseline, what we call homeostasis, after high-stress periods,” Dr. Breshears said. “Research suggests it's often the failure to prioritize recovery, not the stress itself, that actually contributes to the most lasting problems.”

Dr. Breshears shared a study comparing elite marathon runners to non-elite runners. The surprising finding? Elite runners were better at identifying stress early and adjusting their pace to recover, ultimately helping them perform better.

That same principle can apply to your mental health. If you notice signs of stress—like fatigue, irritability or changes in focus—take time to reset. That might mean getting more sleep, going for a walk, reaching out to a friend or seeking professional support.

Being intentional about recovery helps you maintain balance, build resilience and continue showing up for what matters most.

Nurture relationships and workplace well-being.

Meaningful relationships are a powerful buffer against stress. For many people, the workplace is a central source of community—and a critical place to nurture mental health.

“We’re social creatures,” said Dr. Breshears. "Having environments where people come in and feel good about their day-to-day interactions is really important.”

Dr. Breshears said it starts with employers being committed to understanding the inadvertent threats to their team’s well-being and removing barriers to care.

“First, I think we have to pay attention to the occupational drivers of stress on our employees and commit to resolving those issues,” he explained. “All of the human resources and benefits in the world will fail if we’re not also working upstream to eliminate the root causes. Secondly, we need to establish clear pathways so people can easily access support without all the stumbling blocks and delays they often run into.”

Employers who lead with empathy—and prioritize flexibility, compassion and connection alongside performance—help create cultures where people feel empowered to seek help when needed.

“We have to ensure that we have accessible resources,” Dr. Breshears said. “People bring their personal struggles into the workplace, and take their struggles in the workplace home. The lines have certainly blurred.”

Know when to seek help.

While self-care and support systems can go a long way, there are times when professional help is essential. Mental health conditions are common—and treatable. The sooner you seek help, the better.

This is especially true for men, who often face cultural and emotional barriers when it comes to seeking support.

“Men on average tend to delay help-seeking more than women,” Dr. Breshears said. “And this is especially true when men are suffering. Frankly, it's a mortality issue.” He noted that men are more likely to die by suicide and experience substance abuse disorders, which makes early intervention even more critical.

Dr. Breshears also emphasized the need to remove barriers and promote action: “We have to create environments in which people feel safe to talk about the struggles that they’re having.”

If you’re struggling, don’t wait. Explore Wellstar Behavioral Health services and find the support you need today.

If you or someone you know is in crisis, call or text 988 for the Suicide and Crisis Lifeline, or contact the Crisis Text Line by texting TALK to 741741.

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Millenial Mole NEw

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Social Media Trend Has Millennials Scanning for ‘Millennial Mole’

Millennials across social media are finding that their generation has something in common: a mole in the same spot on their forearms. Dubbed the “millennial mole,” it is a small mole on the left forearm a couple of inches below the elbow. Millennials—people born between about 1981 and 1996—are taking to social media to show them off.

Dr. Kathryn Potter, a dermatologist at Wellstar MCG Health Medical Center, said she had not seen the social media trend but was intrigued.

“Of course, I had to look for myself and I have several on my left arm. I don’t know if that counts,” she said with a laugh.

If people are paying attention to moles, though, that’s a good thing. May is Skin Cancer Awareness Month, and while most moles are harmless, it’s good to notice them from time to time to make sure they aren’t changing, which could be an indicator of skin cancer.

But what exactly are they?

Moles are caused by melanocytes—cells that contain a dark pigment that protects your skin from UV radiation—that cluster together. But it can be confusing sometimes.

“Not all brown things are moles,” Potter said. “There can be freckles, sunspots or benign lesions called seborrheic keratosis.”

Whichever it is, if it is growing, changing shape or color, or developing irregular borders, it should be evaluated by a dermatologist.

“As far as skin cancer goes, we worry that a mole can become a melanoma—although most melanomas arise de novo, meaning they come up on their own and not through existing moles,” Potter said. “But for moles, we watch to see if they start to evolve or change.”

Potter also said most people who develop true moles will develop them before the age of 40. Moles that arise later in adulthood should be checked by a dermatologist.

You should also perform skin checks at home periodically. There are no hard and fast rules for when you should perform a skin check, but taking a few minutes to scan them is always a good idea.

Prevention is always best. Whenever you’re out in the sun, wear sunscreen that is SPF 30 or higher and apply it about every two hours. Wear hats with broad rims and protective clothing and seek shade whenever possible.

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