When we are young, everything is a “first”. Every event, experience, holiday, and new person seems fresh and new. The possibilities seem...

Many people experienced the benefits of weight management medications, only to find that all the pharmacies are out of them everywhere....

There is a recent “news cycle” in weight loss medication. Tirzepatide (Mounjaro) was approved to treat Type 2 Diabetes Mellitus on May...

August is glorious in the Pacific Northwest! Many people enjoy travel and special events. It is hard to believe that Fall and Back to...

Before the pandemic, I would have said that many people spend as many waking hours at work as they do at home. Now, many people spend a...

Alcohol has somehow managed to take a significant place in our society. Primarily in the form of ethyl alcohol (ethanol), it has occupied...

Yesterday, it hit me once again; I failed my patients. In April 2020, faced with the start of the Covid pandemic, school closures, and...

Very Low Calorie Diets using meal replacements have been well studied as a medical protocol for both non-surgical treatment of obesity...

For better or for worse, managing weight is a lifetime journey. Obesity Medicine is the specialty of diagnosing and managing the chronic...

Exercise is very exciting because it so quickly changes how you feel and how your body works. While all types of exercise provide...

“Managing Macros” is a relatively precise way of doing a nutrition plan using grocery store food. I am doing a blog on it to illustrate...

Congratulations! You have finished your sprint and you and it is time to settle in for the endurance portion of this journey. I wish I...

Congratulations! You are on week eleven! Keep in mind that while these blogs are written for a 12 week program, the length of your...

Congratulations! You have now gotten down all of the integral parts of weight loss! Look at all of the wonderful things you are doing:

Congratulations! You are on your sixth week of your program! If you are doing a 12 week program, which is typical for women losing about...

The Perfect Week

Don't worry, this is a good "new normal!" With an average weight loss of 22%, the question for most people who do the Rainier Medical...

It is week 2 of the Fall Challenge. Congratulations to everyone who has decided to invest some space in your brain, time, and life to...

In my old practice, I used to spend most of my time writing prescriptions (many of which the patients did not want!). In my current...

“Learning how to eat,” that is a goal that I sometimes hear. It is true, eating has gotten quite complicated. When did we forget how to...