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
Meet Dr. Elizabeth Montgomery, Future Obesity Medicine Physician
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Schedule an appointment with Dr. Montgomery (Missouri only) here
We welcome Dr. Elizabeth Montgomery to the Modern Metabolic Health Podcast and talk about why family medicine naturally leads to treating obesity with compassion and science. We break down why our goal is better long-term health, not fast weight loss, and how personalized care builds trust and real progress.
• Dr. Montgomery’s path through Missouri and into family medicine
• Why obesity medicine aligns with whole-person primary care
• Explaining obesity as a chronic disease like hypertension or diabetes
• How hormones and brain chemistry affect weight regulation
• Correcting myths about weight loss safety and GLP-1 medications
• Why guided medical care differs from online medication use
• When obesity medications can help, especially with comorbidities
• Stigma in healthcare and removing shame from weight care
• How to know if your doctor is the right fit
• Building individualized plans for nutrition and exercise
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.
Schedule an appointment with Dr. Montgomery (Missouri only) here
👩🏼⚕️ Live in Missouri? Want to be my patient?
Telehealth clinic: https://missourimetabolichealth.com
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✨Freebies✨
Anti-Obesity Medication Options
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Healthy Habits Workbook
Preventative Health Checklist
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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 lifestyle while utilizing safe and effective medical treatments. 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. Elizabeth Montgomery
Dr. Lindsay Ogle, MDWelcome back to the Modern Metabolic Health Podcast. Today I have a very special guest, Dr. Elizabeth Montgomery. She is board certified in family medicine, and she's actually one of the newest physicians to join me at Missouri Metabolic Health. So thank you, Dr. Montgomery, for being here today.
SpeakerThanks for having me.
Dr. Lindsay Ogle, MDYeah, so I'd love to give you the opportunity to introduce yourself and tell all the listeners a little bit more about you.
SpeakerYeah, so I'm a Missouri native. I've born and raised in Southeast Missouri, and then my training is kind of taking me around the state. So I was in St. Louis for my college and then Northeast or yeah, Northwest Missouri for medical school in Kirksville. Um and then I landed back here in St. Louis. So I'm married. I have two dogs that takes most of my attention outside of work. Um they're basically our children. Um but I do have nieces and nephews that are close by and I call myself the fun aunt, and we do all kinds of fun things together. Um I practice family medicine and then um this most recently joining to do work with Missouri Metabolic Health. I'm working on getting my obesity medicine certification and taking boards for that in October.
Why Family Medicine Led To Obesity Care
Dr. Lindsay Ogle, MDYeah, so exciting. Um I'm curious what um like what took you to family medicine initially, and then what's kind of led you to obesity medicine as a specialty?
SpeakerYeah, so when I was first deciding um deciding that I wanted to be a doctor, my idea of that really was a family medicine doctor. You know, my town is a smaller town. We don't have a lot of fake hospitals or specialists and things. And so the doctors I saw were family medicine or primary care doctors. Um, and so, you know, as that idea started forming, I shadowed those doctors and, you know, learned more and more about family medicine. Um, and just every step that I took just kind of reaffirmed that's what I wanted to do. I branched out and checked out other specialties and worked in the ER and you know, did a lot of different things, but just kept coming back to family medicine. Um, there's something about you never know what you're gonna be doing that day. There's a lot of variety. Um, but really the thing I love about it is that you're taking care of people and their whole health and just trying to help them be as healthy as they can be. Um so I think that's that's probably where a big crossover for me with obesity medicine is is, you know, most of the chronic diseases and helping people with in family medicine, you know, they st they stem from obesity or they're affected by obesity. And so seeing how much that can impact all of these different chronic conditions, it's it's very exciting. And I like working with people on that. Um, and helping educate them on, you know, lifestyle things as well, and working with people on, you know, what their goals are. And um, there's a lot of crossover, I think, between the two.
Dr. Lindsay Ogle, MDYeah, I completely agree. Um, and there's a lot of similarities along our path. Um, I'm also uh, you know, trained in family medicine, and I went into that to help um patients, you know, live longer and healthier lives. And I felt like the philosophy of obesity medicine really aligned with that. Um and how do you feel like your background in family medicine will um, I guess, augment or change your approach to obesity care?
SpeakerYeah. Um I think you know, something that's really important to me as a doctor, whether it's doing obesity medicine or primary care, is making sure my patients are comfortable with me and feel like they can bring up their concerns and that we can work together and they're comfortable with whatever plan we come up with. Um, so I think that is something from primary care I definitely would bring forward into OBC medicine.
Obesity As Disease Not Willpower
Dr. Lindsay Ogle, MDYeah, yeah. I love that. Um and you kind of mentioned that um obesity is like other, you know, chronic conditions in family medicine that we see in family medicine. Um, how do you explain that to patients that uh obesity is a chronic disease uh rather than like a lack of willpower or failure on the patient?
SpeakerYeah, yeah, I have this conversation a lot. And I, you know, I just tell people obesity is a chronic disease just like any other, just like high blood pressure, just like diabetes, just like you know, high cholesterol. Um, and I think it deserves to be treated that way. And um, people should feel comfortable talking with their doctor about it, and um, it should be treated with medicines when necessary, just like all these other conditions. Um, you know, I tell people you can do everything perfect and you may still struggle with obesity. And, you know, that's where medicines come in. That's where help from your doctor comes in. And, you know, nobody's perfect all the time, but most people who end up starting medicine for obesity, they've tried a lot of other things and they haven't been able to get to their goals. Um, so you know, there's a lot happening biochemically um in your body with your hormones and your neurotransmitters that affects your weight and when you're trying to lose weight. So there's a lot more going on than just simple willpower for sure.
Safety Myths And GLP-1 Fears
Dr. Lindsay Ogle, MDYeah, absolutely. Um, and kind of along those lines, what's one of the biggest myths about you know obesity or um weight care that you find yourself correcting, whether that's you know what your patients are saying or maybe you hear um just on a day-to-day basis?
SpeakerYeah, I think um, well, obviously there's a lot of stigma around obesity that um that people deal with. But I think one of the things too is sometimes people have the notion that it's uh unhealthy or unsafe to lose weight, you know, especially with, you know, the newer medicines and people seeing like stars in Hollywood and and seeing all these different results in the media and stuff. But um, that's a big one I like to talk to people about of, you know, the whole goal with medications or with losing weight is to help get you healthier. And so, you know, I'm always watching for signs that, you know, is this losing weight too fast or, you know, is this causing an outcome we don't want? Um, but I think that's a big one that I talk about a lot with people. Um, is that feeling of, you know, this is wrong or it's gonna harm me, or um another big one is like I'm taking medicine away from people with diabetes who need it. Um, so I talk to people a lot about those things.
Dr. Lindsay Ogle, MDYeah, I'm glad that you brought that up because I've had, you know, conversations with um my sister about this because she's not in medicine and you know, she kind of gets that media, I guess, portrayal of GLP1s often and how they can be used inappropriately and in unsafe ways. Um, but that's very different than what I just I see on a day-to-day basis as an obesity medicine physician. There's a big difference when utilizing, we'll say GLP1s um or other obesity management medications with the guidance of a you know dedicated primary care doctor or obesity medicine physician versus you know just getting them you know online without guidance. Um, you know, we're taught to always keep health um and long-term, you know, health outcomes at the front of mine. And for our number one goal is not weight loss, it's improved health. And that's very different.
SpeakerYeah, yeah. Very different goals and what you're watching to determine, you know, is this medicine right? Are we doing the right thing? You know, yeah. Not all about just
New Treatments Coming Soon
Speakerweight.
Dr. Lindsay Ogle, MDNo, no. Um, and we were both at the most recent um obesity medicine association conference in the spring. What was one thing that you took away from that that surprised you or that you were maybe excited to bring back to your practice?
SpeakerYeah. Uh the most exciting thing was how many people were there. I thought it was amazing. I mean, the room, it was a huge room. It was completely full. People are standing. Um, so I just think that's so exciting that there's so many more people learning about this and getting more involved. Um and then probably one of the biggest takeaways was just how many new medicines are on the horizon that have the potential to help people even more than what's already out there and just other options too. Um, so I think that's that's very exciting to know there's just more and more stuff coming down the pipeline. Yeah, I absolutely agree.
Dr. Lindsay Ogle, MDUm it's an exciting field to be in in medicine. Um, you know, most of the OBC medicine physicians are very, very positive and kind and compassionate people, and we're having more and more tools available to help support our patients. So it's a great field, and I'm glad that you decided to, you know, pursue it and join and take care of boards this fall.
SpeakerYeah.
When Medication Makes Sense
Dr. Lindsay Ogle, MDUm, along the lines of initiating OBC management medications like GLP1s, um, when do you, or I guess what are some um indicators that those medications are a right fit for your patient versus pursuing maybe just a lifestyle alone?
SpeakerYeah. Um, I think a lot of people when they're contemplating medicines, they've already tried a lot of lifestyle things and they're still struggling. Um, so that that's definitely one factor of, you know, I've been doing this and I'm just not seeing the results that I need. Um, the other thing is if they have some other comorbidities along with, you know, carrying extra weight like diabetes or high blood pressure or sleep apnea or heart disease, you know, there's a lot of things that benefit from the medicines too, irregardless of weight loss. So a lot of times you can tackle multiple goals with one treatment. And so that might be another time where adding medicine into the lifestyle is really helpful.
Dr. Lindsay Ogle, MDYeah, I completely agree. Um, and that's one of the other things I love about obesity medicine is that we are treating the underlying cause of so many other medical conditions, and we usually can have like that one focus, um, sometimes just one medication that will help all those other conditions, which is very exciting because patients love to um you know reduce or stop as many medications as possible. That's my favorite thing to do is take people off medicines. Yeah. Me too, me too.
Stigma In Healthcare And Trust
Dr. Lindsay Ogle, MDUm what are some of the common challenges you see for your patients who are living with obesity?
SpeakerYeah, um, I kind of touched on a little bit, I think the stigma around obesity, and particularly when you know, their past experiences in healthcare, maybe even, um, and just feeling, you know, like they've had conversations with other providers or doctors where they came away from it feeling ashamed or feeling um put down or that this is your fault. And so, you know, that's a lot to to try to change in in someone's mind. And uh I think that's really important because, you know, these people, everybody, you know, seeking out care deserves that compassion and support. And, you know, there's there's no place for shame in this, you know, that's what I tell my patients. Um, I'm I'm never gonna yell at you like you, you're not doing anything wrong. I'm just here to help figure out what's the next best thing to do to get you healthy.
Dr. Lindsay Ogle, MDYeah, that's a great approach. Um, and how do patients know when they have the right fit for the, you know, the doctor that they're working with and the care team that they're working with?
SpeakerYeah, I think um your comfortability, your trust, um, if you feel like you can come to your doctor and let them know what your issues are and feel like they're gonna work with you on that. Um, and you feel like you can, you know, bring whatever issue you have to them and you're not gonna be judged. That's a huge thing. Um, because if you're afraid to bring up problems with them, that it's just such a big roadblock for you. Um, and everybody's different, you know, different personalities may mesh with a different person. And so, you know, anytime if you, I mean, I even tell people this, you know, in primary care, if you're seeing a specialist or somebody that you just don't get along with, you can go somewhere else. Like you're not gonna hurt anyone's feelings. It's okay. Um, there's a lot of doctors out there. So find the right fit for you and somebody that you're comfortable with.
Dr. Lindsay Ogle, MDYeah, yeah, I absolutely agree. I I also like to empower patients and you know, anyone listening to the podcast or YouTube that if you don't feel like it's a good fit, then it's okay to, you know, seek a second opinion or you know, other care. That's absolutely okay. And you deserve um, you know, a good fit for you. For sure. Um, if someone was becoming uh, you know, a patient of yours, what type of
Personalized Plans That Fit Real Life
Dr. Lindsay Ogle, MDcare or approach should they expect from you? Um, or what would that process look like, um, especially if they were seeing you for um the disease of obesity?
SpeakerYeah. Um I I certainly tried to, you know, really work with people on what their goals are and what things they think they're gonna be able to do. You know, none of this is one size fits all. It's very personalized. And one thing is not gonna work for the next person, that worked for the last person. So really going over you know what the options are. Um let me get my dog. We're working out the kinks of the dog still. Okay. Um but yeah, when I work with the patients, I you know, want to hear from them what kind of things they think will work for them and um whether that's you know, what what do you think you can do with exercise? What do you enjoy, you know, where where can we improve on that or start? Um, and same with diet, you know, one diet doesn't work for everyone. And so working with people on what they think is gonna help them and kind of building on that.
Dr. Lindsay Ogle, MDYeah, I think that approach is so important because if you're working with, let's say, a 50-year-old farmer, what's you know, your recommendations for them is gonna be very different than maybe a 20-year-old who's in college right now. Their lifestyles and you know, their preferences are completely different. Um, their goals are different, and what they're able to do in their free time is different. So um getting that uh, you know, complete history um and then tailoring your recommendations to them um really makes a difference in the outcomes for each patient.
SpeakerYeah. Yeah, because at the end of the day, you know, I can give a recommendation, but if it's not something that's even possible in your life, it's not gonna work. Yes. Um great.
What We Hope Patients Feel
Dr. Lindsay Ogle, MDSo, well, um I'm curious, what are you looking forward to most with seeing patients at Missouri Metabolic Health versus like in your primary care practice? What do you think is going to be different, if anything?
SpeakerYeah, I think um, you know, if you've gotten to this point where you have looked for somebody to help you with obesity and you've signed up for this, then you are already have some enthusiasm for it. And so I think that's really exciting. And the other really exciting thing is when you're able to work with people and they start to see these results and they start to feel better. Um, that's one of the most rewarding things is kind of celebrating that with patients.
Dr. Lindsay Ogle, MDYeah, celebrating all the wins along the way. It's so fun for both the provider and the patient. So absolutely. Um well, thank you for taking the time. Is there anything else that you would like to touch on today? Um, you know, about yourself, um, your experience or just obesity in general?
SpeakerYeah, I, you know, I like doing this because I like connecting with people and helping people. And, you know, the overall goal is to get you feeling better and um to help your future self too, not just your current self. So those those are all kind of my big reasons for doing this and why I enjoy it so much. So just know when you're working with me, I'll be very enthusiastic, I'll be very detail-oriented. Um, you'll hopefully learn a lot and hopefully I will too from you.
Dr. Lindsay Ogle, MDYeah. Well, thank you so much again, Dr. Montgomery. I'm so excited for you to join Missouri Metabolic Health. Um, and again, thank you for taking this time to share um all of your knowledge and experience.
SpeakerYeah, thanks so much.
Dr. Lindsay Ogle, MDI can't wait to get started.
Share Subscribe Review And Closing
Dr. Lindsay Ogle, MDThank 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.