252: Episode 3: Realistic Weight Loss Goals & Sustainable Success
The Metabolism, Muscles, and Mindset Podcast - A podcast by Ali Novitsky, MD - Wednesdays

Episode SummaryIn this episode, Dr. Diana Pallin, an obesity medicine specialist, joins Dr. Ali Novitsky to discuss what happens after patients achieve weight loss success.They explore the three most common scenarios—unrealistic goals, surpassing expectations, and the challenge of feeling like it’s never enough. Dr. Pallin emphasizes why focusing on metabolic health, body composition, and sustainability is far more important than the number on the scale.Introduction to the EpisodeOverview of Dr. Diana Pallin’s expertise in obesity medicineWhy long-term weight loss success depends on realistic expectationsPersonal UpdateDr. Pallin reflects on her experience guiding patients through long-term weight management. She shares how setting realistic expectations from day one helps individuals avoid frustration and embrace their progress. She also highlights why metabolic adaptation plays a crucial role in maintaining results and why many patients need to shift their mindset around goal-setting.Episode BreakdownThree Common Weight Loss ScenariosUnrealistic Goals & The Expectation GapWhy many patients aim for goals that medical management alone cannot achieveHow metabolic adaptation limits extreme weight loss through medical treatmentThe importance of a sustainable, stepwise approach to weight lossReaching a Goal But Wanting MoreThe psychological struggle of “never feeling like you’ve arrived”How metabolic health improves beyond just weight lossStrategies to help patients accept and celebrate their progressSurpassing Expectations & The Rare “Unicorn” CasesWhen patients exceed their own expectations through metabolic healingThe importance of focusing on body composition rather than weight aloneWhy strength training, protein intake, and sustainable habits are keyUnderstanding Body Composition & Setting Realistic GoalsThe difference between weight, muscle mass, and body fat percentageWhy the “I, C, and D” body composition models help set expectationsThe importance of body recomposition over extreme weight lossMetabolic Adaptation & The Role of MedicationWhy long-term maintenance is about more than just losing weightHow GLP-1 medications impact metabolic adaptationThe balance between medical intervention, nutrition, and lifestyle changesKey TakeawaysWeight loss goals should be based on body composition, not just weightMetabolic adaptation affects long-term success and sustainabilityMany patients set unrealistic goals—focusing on overall health leads to better outcomesThe journey doesn’t stop at weight loss—it evolves into lifelong maintenanceTimestamps00:00:00 - Introduction and Dr. Pallin's background00:04:15 - The three common weight loss scenarios00:12:30 - The impact of unrealistic goals on success00:19:45 - Understanding body composition and metabolic health00:26:30 - How medications help with long-term weight management00:32:15 - Key takeaways and next episode previewDr. Ali's 48-CMENutrition Training Program is enrolling now! Sign upHERE.Check out the Beginner Strength Training Program - 12 months for only $199! Enroll TODAY.Transform® 9.0 enrollment is now open for a May 5th kickoff! Get started with your bonus content today. Learn more HERE.The Total Fitness Program combines Core & Floor, Beginner Strength, Advanced Strength Training, Yoga, and Meditation to give you the ultimate mind and body fitness experience over 12 months. Enroll HERE.The Fit Collective® is an Affiliate with InBody, USA and Canadian divisions. Click HERE to receive a 15% discount off the H20 and H30 models. Please note, we do receive a small referral commission.Follow Dr. Ali Novitsky on TikTok | Facebook | Instagram | YouTubeSubscribe to The Muscles and Mindset Podcast on Spotify | Apple Podcasts