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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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The iHeartMedia Cares for Kids Radiothon filled the lobby of Wellstar Children’s Hospital of Georgia Dec. 4 through 6 for its 25th year of fundraising. Surrounded by a winter wonderland of Christmas trees and red, white and silver balloon arches, volunteers took donations from generous supporters while iHeartMedia radio stations and WRDW-TV broadcast stories of the miracles that happen every day at Wellstar Children’s Hospital of Georgia.

The event raised $291,617 to support the children’s hospital, which is a part of the Children’s Miracle Network.

“Thank you, thank you, thank you! This is life-changing,” said Ralph Turner, president of Wellstar MCG Health Medical Center. “This can support many of our young patients. They come to us and we take care of them. We don’t turn them away, and this really helps support our mission.”

Dr. Valera Hudson, pediatrician-in-chief, echoed Turner’s gratitude.

“We couldn’t do this without community support. We are so grateful for everyone who is here who helped pull this off,” she said.

Each year, iHeartMedia generously donates 72 hours of airtime as DJs from 96.3 Kiss FM, 104.3 WBBQ and 105.7 The Bull join WRDW-TV to broadcast live from the event, sharing success stories from patients and families grateful for the care they received.

“Thank you, CSRA, for making miracles happen. Exactly 291,617 miracles. Thank you!” said Ivy Elam, market president of iHeartMedia in Augusta.

Donations from the iHeartMedia Cares for Kids Radiothon are used throughout the year to purchase pediatric equipment such as vein finders for babies in the neonatal intensive care unit and a gaming system for patients in the pediatric operating room.

They also support programs that are unique to a children’s hospital. These include the facility dog program, featuring three hospital-owned dogs who provide comfort and help Child Life Specialists more easily communicate with young patients. Donations also help fund summer camps for children living with chronic conditions—such as Camp Rainbow for cancer patients—which allow kids to just be kids while remaining under medical supervision.

Radiothon has ended, but donations can be made throughout the year by calling (762) 375-4004, by emailing Wellstar Children’s Hospital of Georgia Director of Philanthropy Catherine Stewart or by visiting the Wellstar Foundation.

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ATLANTA (Nov. 13, 2025) – From bustling food banks to blooming community gardens, more than 500 Wellstar Health System team members rolled up their sleeves and stepped into neighborhoods across Georgia for the 2025 Wellstar Day of Service—a powerful demonstration of compassion in action.

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    • At MUST Ministries, team members assembled hygiene kits, birthday bundles and heartfelt notes for seniors—adding a personal touch to essential services.

About Wellstar Health System

Wellstar personalizes the patient experience. We call it PeopleCare, and it's only possible thanks to our 33,000 team members who provide expert, compassionate care for every stage of life. PeopleCare also means we serve our communities as a nonprofit health system, providing more than $1 billion annually in charity care and community programs, and operating the largest integrated trauma network in the state of Georgia. We embrace innovation and technology, nurture early-stage companies through our venture firm Catalyst by Wellstar, and train future generations of caregivers with academic institutions including the Medical College of Georgia. Wellstar honors every voice and is one of the Fortune 100 Best Companies to Work For. To learn more, visit Wellstar.org.

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