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Clearly Hormonal
Komal Patil-Sisodia, MD
Beyond the Buzz: Where GLP-1s Really Fit in PMOS Care
SEP 16, 202610 MIN
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Description
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Dr. Komal Patil-Sisodia continues the PMOS Awareness Month series by walking through where GLP-1 medications, like semaglutide and tirzepatide, fit into PMOS treatment. She explains what GLP-1s actually do in the body, who is likely to benefit, who they are not built for, and why they are never a stand-alone treatment plan for PMOS.
In This Episode
What a GLP-1 is and the three main effects these medications have on the body
Why insulin resistance sits at the center of PMOS for so many patients, and how that connects to androgen levels and symptoms like acne and excess hair growth
Who is the clearest fit for a GLP-1: patients with insulin resistance or higher body weight, and those who haven't seen enough improvement from metformin or lifestyle changes alone
Who GLP-1s are not built for: lean PMOS patients without insulin resistance, and anyone trying to conceive soon
Why GLP-1s only work well alongside lifestyle change, and the real risks of low protein and fiber intake while on these medications
What a GLP-1 does not replace: ongoing metabolic monitoring, fertility treatment, and androgen-targeted treatments like birth control pills or spironolactone
The four questions Dr. Patil-Sisodia asks herself before recommending a GLP-1 for a PMOS patient
Timestamps
00:00 Podcast Intro
01:01 Series Setup
02:13 GLP-1 Basics
02:45 Why It Matters
03:28 Who Benefits
04:32 Who Should Avoid
05:27 Lifestyle and Safety
06:15 What GLP-1s Don't Replace
07:40 How I Decide
08:29 Wrap Up and Next Week
09:36 Mini Course Promo
Links Mentioned
Newsletter sign-up: eastsidemm.com/newsletter
Follow Dr. Patil-Sisodia: @drpatilsisodia on Instagram and TikTok
Thanks for listening. Find more info about Clearly Hormonal on the website or Instagram.

