Modern Metabolic Health with Dr. Lindsay Ogle, MD
Join Dr. Lindsay Ogle, a board certified family medicine and obesity medicine physician, as she explores evidence-based strategies and practical tips to prevent and treat weight and metabolic conditions. Dr. Ogle provides insights on managing diabetes, PCOS, metabolic syndrome, obesity and related conditions through lifestyle optimization, safe medications and personalized care.
Modern Metabolic Health with Dr. Lindsay Ogle, MD
Obesity Medicine Without Shame: Dr. Brianna Bingham, DO
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We welcome Dr Brianna Bingham to Missouri Metabolic Health and talk about why obesity deserves the same respect as any chronic disease. We share how patient education, choice, and consistent follow-up change outcomes with GLP-1 medications, bariatric surgery, and long-term metabolic health care.
• Dr Bingham’s background in internal medicine and why she pursues obesity medicine
• Lived experience with obesity and how it shapes empathy and stigma-free care
• DO vs MD explained in practical terms for patients
• Our shared treatment philosophy of education, options, and informed consent
• Why dedicated weight management visits allow better history-taking and goal setting
• GLP-1 medications, side effects, and the need for credible follow-up
• Bariatric surgery as one tool in a long-term plan, not a moral verdict
• Building a support team with dietitians, therapy, training, and trustworthy online community
• Where to find Dr Bingham and how to schedule with Missouri Metabolic Health
If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health.
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Welcome And Medical Disclaimer
Dr. Lindsay Ogle, MDWelcome to the Modern Metabolic Health Podcast with your host, Dr. Lindsay Ogle, Board Certified Family Medicine and Obesity Medicine Physician. Here we learn how we can treat and prevent modern metabolic conditions, such as diabetes, PCOS, fatty liver disease, metabolic syndrome, sleep apnea, and more. We focus on optimizing lifestyles while utilizing safe and effective medical treatment. Please remember that while I am a physician, I am not your physician. Everything discussed here is provided as general medical knowledge and not direct medical advice. Please talk to your doctor about what is best for you.
Meet Dr Brianna Bingham
Dr. Lindsay Ogle, MDWelcome back to the Modern Metabolic Health Podcast. Today I have a very special guest, Dr. Brianna Bingham. She is the newest addition to Missouri Metabolic Health. So I'm so excited to have her on today to tell us about herself, about uh obesity medicine, and I know we're gonna learn um some from her. So thank you for being here today, Dr. Brianna. Thank you so much. Thanks for having me. Yeah, so like I said, I would love if we could just start by you telling a little bit about yourself.
Dr. Brianna Bingham, DOYeah, for sure. So Brianna Bangham, I am from Springfield, Missouri originally. I'm in the Kansas City area now. I am an internal medicine board certified physician. Uh went to med school here in Kansas City, did residency at KU, and uh now I work at a full-time at a senior primary care center, but I'm working towards becoming board certified in obesity medicine.
Dr. Lindsay Ogle, MDYeah, yeah. Well, I'd love to hear why you decided to pursue obesity medicine.
Dr. Brianna Bingham, DOYeah, for sure. So I personally have struggled with the disease of obesity for most of my adult life. And as I became an internal medicine doctor, I had a lot of patients who were struggling with it and looking for guidance and kind of always felt this little bit of like imposter syndrome of like, you know, like the I feel like I should be able to like take care of this on my own for myself, but I can walk patients through it. And um, as I became an attending and I started right around the time of like after COVID was over, the GLP1 medications like ramping up, and we were seeing a lot of um them new indications for treating obesity, and patients just kept asking me about it, and I'm like, I want to learn more about this. So I ended up um connecting with a bariatric surgeon in our area and just kind of like he and I came up with a good workflow because he wanted a lot of his post op patients to see me for med management as well. And then I was like, why don't I like I didn't know that obesity medicine was like its own subspecialty, and he's the one who introduced me to that and just kind of started pursuing that and being able to treat patients, but also I am a bariatric patient myself, and so have also gone on the journey with GLP1s, and so I bring a lot of like lived experience of yeah, I've experienced these side effects of these meds, and here's how I combated that. And um, I think that
Why She Chose Obesity Medicine
Dr. Brianna Bingham, DObeing able to relate to patients and helps me to be empathetic to obesity as a disease and the struggle and the stigma that comes with it.
Dr. Lindsay Ogle, MDYeah, well, thank you for sharing that. And I think that's such a powerful um, I guess, experience that you bring to this patient population that is, you know, really looking for help. Um, and as you said, that um many people don't even know that obesity is a specialty or even that obesity is a disease to be treated. And so um the more awareness that we have, the better. And then for you to have your, like you said, lived experience as well as the medical knowledge to back up your treatment plans that you're creating with your patients is so wonderful. Um, so I'm I'm really glad to have you on my team now.
Dr. Brianna Bingham, DOThank you. I'm so excited to be here. I am really enjoying being able to help patients.
Dr. Lindsay Ogle, MDYeah, um, one question that I wanted to address that some people might have is the DO versus MD behind our our names. So we're both medical doctors. Um I'm an MD, you're a DO, and I'd love to hear just um what the difference um and similarities are about these um, I guess, training paths.
Dr. Brianna Bingham, DOYeah, absolutely. So a lot like you would maybe get like a the difference in schooling for like um a bachelor's of arts degree or a bachelor's of science, there's the same thing with a doctorate degree for medical doctors. So you can go the MD route and become a medical doctor or a DO, um, which is doctor of osteopathic medicine. Um, traditionally, osteopathic doctors um were, I mean, there's like a whole history in that. So, like I won't dive into all of that. But in general, DOs learn the same curriculum in medical school as MDs do, but there is an added embedded curriculum of osteopathic manipulative treatments. This is something similar to chiropractic. The thought behind if everything in your like if your musculoskeletal system is completely aligned, your body has the innate ability to heal itself. And with that comes a lot of like holistic approaches to treatment. So looking more at um the root cause of disease, um, and not just like giving patients pills for you know symptoms, but really figuring out why they have symptoms. Um, not that MDs don't do this, because like they also it's like an overarching principle of medicine of like finding the root cause. Um, but I in my experience, DOs, we are especially equipped with caring for patients. We get a lot of hands-on with the manipulative treatment stuff, so really comfortable with like physical exam things, which is kind of phasing out, and then um oh my gosh, I'm so sorry. My my daughter's in the background.
Dr. Lindsay Ogle, MDThat's okay.
Dr. Brianna Bingham, DOUm, but yeah, so MDs and DOs get the same amount of schooling, and then you get your training after that in residency. And so that like traditionally there used to be MD residencies and DO residencies, and really about the time I was graduating medical school, they merged those. So we're all just like accredited to the same residency programs. So my program was actually an MD residency. So I really don't do any of the osteopathic, like manipulative treatment stuff in practice because I just haven't done it since school. Um, but in general, it most of us just like take a little more holistic approach and are um really better at communicating with the patients about like if they have questions about things that aren't maybe medicine treatments. Um, so we get like a little bit of training and um acupuncture and that kind of stuff. Very minimal, but that's like how I would explain it to a patient is we have the same credentials. We're able, we're licensed to do the same things, treat, evaluate, prescribe medications. We just get a little
DO Vs MD Explained Simply
Dr. Brianna Bingham, DOextra training and the hands-on stuff.
Dr. Lindsay Ogle, MDYeah, I think that's a great explanation. And a lot of people do get confused when they see that um designation. So thank you for taking the time to go over it. And I know in my residency, um, we had at least one DO faculty, I think it was just one, but she was really passionate about sharing some of that extra knowledge with us. Um, so it was really interesting to hear from her. Um and and yeah, like you said, the physical exam uh for better or for worse is kind of um becoming less um part of the clinical exam. Um, but it definitely plays a role. Um, and DOs are really great at that. Um I think that philosophy of going back to the underlying cause, the root cause, and and focusing on prevention really aligns with my philosophy. And that's why I went into failing medicine and then eventually obesity and medicine. So I think that those paths um, like you said, can cross over a little bit too.
Dr. Brianna Bingham, DOAbsolutely. And there are there's like kind of each one has their own stereotype. And so I've met MDs that are just as like equipped for those things. They actually do have some postdoc training too. People want to do osteopathic osteopathic treatments as MDs, they're allowed to get training in that too. So there's definitely crossover, it's definitely not like either or. And I've met amazing MDs and DOs, and like we all work together as a team really well.
Dr. Lindsay Ogle, MDYeah, yeah, absolutely.
Patient Choice And Chronic Disease Care
Dr. Lindsay Ogle, MDUm, well, I guess on the lines of philosophy, what is your overall treatment philosophy? Um, maybe like in general in your primary care practice, and then specifically with uh near patients that you treat for obesity.
Dr. Brianna Bingham, DOAbsolutely. So, in general, for like primary care patients, so I work at a senior primary care office for like during the day. Um, my biggest thing is um making sure patients are educated in what all the treatment options are, and also giving them a choice because I feel like if we're not giving patients all the options and the risks and benefits of all of those things, then they really truly aren't making an informed decision. And a lot of times these patients I've seen have their whole lives seen doctors who are like, Oh, I'm just gonna prescribe this medicine for you, you have to take it. And I don't know why they're taking it. And so I really take a more educational approach with my patients. So that's probably the philosophy for like primary care in general, is like making sure that the patient and myself know that like we're on the same page with the treatment and that we're okay with moving forward in that way. As far as obesity treatment, my philosophy, first of all, as a person who's experienced this, is really reiterating with patients that like this is a chronic disease. This is not your fault, it's not a lack of willpower, this is a disease, and we just need to treat it as such. Um, and so I think that's where a lot of people have come into healthcare with this uh negative um experience in the past because they've been told, well, you just need to exercise more, you need to calorie restrict and eat less, and oh well, you're just lazy or whatever. And so then they feel like they can't even like talk to their doctor about it. So I feel like very fortunate when patients bring it up uh because I'm like, absolutely, this is a piece of your health. And and I also like to reiterate with patients that like my goal as your doctor is not to make you skinny, it's to make you healthy. And the number on the scale is just one piece of the puzzle. And so, like, I'm looking at the whole picture. Let's talk about all of it.
Dr. Lindsay Ogle, MDYeah, yeah. Um, I align with you so much on both of those approaches. Um, yeah, I love patient education and um allowing patient choice um and then treating obesity like any other chronic medical condition. Um but I'm curious what your thoughts are on, you know, coming, well, you still do primary care, so doing primary care and then having the opportunity to have like these dedicated visits to focus on obesity and weight management. Um you've been working here for a month now, so so it hasn't been too long, but um, what has been, I guess, the difference between those two approaches or what you've been able to do in the two different um settings?
Why Weight Visits Need More Time
Dr. Brianna Bingham, DOAbsolutely. So the biggest thing I've noticed with having a weight-focused visit is that we can take so much more thorough of a history than when we're trying to cover the wide array of things patients come to at a primary care office. Because, like at my primary care office, I get like 30 minutes with a patient and we got to cover it all. And so when they want to talk weight, I often do have them come back just for a weight-focused visit. So we can dive into what is your nutrition like? What is your physical activity like? Where are areas that we can improve things little by little? But it's really difficult to accommodate in a primary care office when you're also managing high blood pressure and heart failure. And we're also doing diabetes, which is part of this metabolic health thing. But sometimes it's like we have other things we got to talk about with it. And so it's hard to juggle all of that. And so I've been really excited that we have this dedicated time that we can ask really thorough questions, really dive into education with the patients of how can we incorporate little things every day? What are manageable goals that we can uh set for ourselves? I think that's the big difference is the time and the ability to really focus in.
Dr. Lindsay Ogle, MDYeah, yeah, that's great. Um what are some of the things that I guess you're hoping to accomplish either with yourself or with patients at Missouri Metabolic Health?
Dr. Brianna Bingham, DOOh, that's a good question. I I don't know that I have a good answer for that. Um for me, gaining more experience and like flexing that muscle, I guess I should say, of being able to focus in on metabolic health. Um, because truly like I don't know if the you experienced this when you first started practicing, but like going into a primary care field, you start to see the things that you enjoy treating. And so when I first started, and I was in like a fee for service job seeing like 28 patients a day, and I was like, the patients who came in to talk about weight loss, I always got so excited. I'm like, I I can't wait for those visits. I just want to focus on that. So being able to like just see that, I'd love to like ramp up a little bit and really focus in on that as time moves on.
Dr. Lindsay Ogle, MDI agree, and I definitely leaned in that direction as well. Um, also with diabetes care, um, I uh enjoyed those visits too. And there's so there's so much to learn in obesity medicine and metabolic health. And you know, we were at the obesity medicine conference together, and there were so many different amazing topics. Um, and I mean it's an annual conference that we're always going over and learning more and more. Um, so it's an exciting field to be in right now. Absolutely. Um, great. Well, is there anything else that you wanted to share either about yourself or um again, yeah, your approach and practice um
GLP1s Bariatric Surgery And Stigma
Dr. Lindsay Ogle, MDor just obesity in general um as a, you know, as a buddy and obesity medicine physician?
Dr. Brianna Bingham, DOUm, I guess so I'll start with um something about me. I guess I'll just talk a little bit about my journey to start with, because I know like when you come to the doctor, you're not here about me, but you kind of always want to know what your doctor's gone through. So I'll just put it out there and then people can refer to it later. But my journey started probably in 2023 um with my like weight loss journey. And I started with Wikovi and then switched over to Zetbound about six months in. And then last year decided to have bariatric surgery. I had a gastric bypass, and then since then I've resumed the Zetbound at a lower dose and I'm using that to help continue on my journey. And during that time, I've incorporated so much more movement and um nutrition and just learning as much as I can about how to support metabolic health through those things. Um and so being able to like tell patients, hey, I know this is hard. And like we're not gonna like Rome wasn't built in a day, right? So, like little by little we've done these things. Um, and I have too. So I I want to like encourage patients that it may seem like such a huge hurdle to jump over, but like we're here to partner with you and to go every little step of the way. And that finding I think another thing is super important is finding a physician who's comfortable managing these medications and the side effects and really specializing in that is super important because I've heard so many stories of primary care doctors who are prescribing these medications with like little to no follow-up, and it can be like really hard on patients. There's not a lot of support, and then people go to places that are maybe not as credible for that information. So um, I'm just really excited to be able to work with you and to gain all that experience and kind of add to the world of obesity medicine.
Dr. Lindsay Ogle, MDWell, we're so lucky to have you, and you're right, it is really important, and there are proven better outcomes when you are working with a obesity medicine specialist and somebody who's partnering with you along the way. And it is a journey, and it's probably going to be a combination of treatments, um, and that may change over time. And so you need to find somebody who you can be honest with and vulnerable with um and share what's really happening with you because that's how you know we as physicians make decisions or make recommendations is based off of what you share with us. And so you do have to have
Build Your Support Team Online
Dr. Lindsay Ogle, MDthat trusting relationship as the foundation, really.
Dr. Brianna Bingham, DOI guess to that point, also like building your team can look like even adding in other people, like dietitians and therapists or counselors, and you know, you could also get like your fitness involved if you want to get a personal trainer. And I'm a huge proponent for like building a team for your own health, and and that's like a big way to invest in your health moving forward, holding you accountable. So, like we get to be part of that team, but it's not just us, like there are other people out there that can help too.
Dr. Lindsay Ogle, MDAbsolutely. And that also makes me think of social media because that's ultimately how we met each other was on TikTok um back over a year ago. And so I definitely want to highlight that, you know, you could follow Dr. Brianna Bingham on TikTok. What is your um hand?
Dr. Brianna Bingham, DOIt's just Brianna Bingham DO on all platforms. That's my name on TikTok and Instagram and Facebook. Um but yeah, that's how we met. And it was, it's I've connected with so many people on TikTok in the OBC medicine realm. It's been amazing to make connections and meet some of the people in person at OMA this year, which was awesome. And yeah, the world is a smaller place because of social media.
Dr. Lindsay Ogle, MDYeah, there can be a lot of you know bad information, a lot of noise out there. But um, if you follow the right people, um it kind of filters out those the other noise. Yeah. Um yes, yes. So definitely recommend all make sure that you know your handle and links are included in this so people can find you and know that they're getting reliable information, um, both you know, some medical knowledge, not direct medical advice, but medical knowledge and examples of the things that you're doing. Because I know you shared, you know, your journey and your story there as well. And so again, that's so powerful for people, um, especially if you don't if they don't have access to this type of care, the specialty care, you can get um really great information and ideas and support and community um online. Absolutely.
How To Find Her And Closing
Dr. Lindsay Ogle, MDWell, great. Well, thank you so much for taking the time. If anyone wanted to become your patient, uh, where should they look for you?
Dr. Brianna Bingham, DOWell, they should look for me at Missouri Metabolic Health and schedule with me. Um, as of right now, my availability is fairly limited, but I see that opening up a little more as we get into the summer. So I'm excited about that. Um yeah, check us out online and you can schedule with me there. Perfect.
Dr. Lindsay Ogle, MDWell, I'm so excited to have you. Um thanks for coming on the podcast, and we should definitely do this again. Yes, thank you so much, Dr. Ogle. Thank you for listening and learning how you can improve your metabolic health in this modern world. If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health. I look forward to our conversation next week.