The Dr. Francavilla Show

Bariatric Surgery, Wegovy/Zepbound or both? With Dr. Jessica Cutler

• Dr. Francavilla

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0:00 | 28:35

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Have you ever wondered if weight loss surgery and medication are actually better together — or if choosing one means giving up the other?

That question sits at the center of one of the most important — and honestly most misunderstood — conversations happening in metabolic health right now. Most people approach weight loss like it's a multiple choice test: pick surgery, pick medication, pick diet and exercise, and stick with your answer. But the reality is so much more nuanced than that, and the patients who tend to do best are almost never the ones who commit to a single path.

Dr. Jessica Cutler is the kind of clinician who genuinely gets that. As both a bariatric surgeon and an obesity medicine specialist at Mercy Medical Center in Baltimore, Maryland, she works on both sides of this care in a way that's pretty uncommon — and incredibly valuable for her patients. She completed her medical degree at the University of Pittsburgh, her general surgery residency at Monmouth Medical Center in New Jersey, and went on to fellowship training in bariatric and minimally invasive surgery at Albany Medical Center in New York. That combination of surgical expertise and medical management in one provider is exactly why she's here — because this conversation needed someone who sees the full picture, not just one piece of it.

In this episode:

  • Clearing Up the Misconceptions About Bariatric Surgery
  • You Might Qualify for Bariatric Surgery — And Not Even Know It
  • Bariatric Surgery and Type 2 Diabetes: There's Way More to This Story Than Weight Loss
  • GLP-1s Changed Everything — Here's How Good Bariatric Care Adapted
  • The Best of Both Worlds: Why Surgery and Medication Work Better Together
  • What Bariatric Surgery Can — and Can't — Do for You
  • The Gut Feeling We Can't Ignore: Bariatric Surgery and Your Microbiome
  • The Future of Weight Loss Medicine Is Closer Than You Think — But the Body Is Still Surprising Us

And if this conversation snippet shifted how weight loss is usually seen — or made things feel a bit clearer — there’s a lot more in the full episode. Go give it a listen for the complete discussion and all the details.

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