On this episode of The Heavy Truth, Ben and Amy will discuss the growing online buzz around the term “Ozempic vulva” — what people are reporting, what’s being misunderstood, and what science actually tells us.

As GLP-1 medications drive significant and sometimes rapid weight loss, changes in fat distribution can occur anywhere the body stores adipose tissue — including the vulvar area. Ben and Amy break down the physiology behind these changes, why GLP-1s often get blamed for things that are really about fat loss, hormones, aging, and skin elasticity, and how social media has amplified confusion and fear.

This episode covers:

• Why volume loss can happen in intimate areas during weight loss

• The difference between cosmetic changes vs medical concerns

• Sensitivity, skin laxity, and body awareness during weight loss

• When symptoms are normal — and when it’s time to talk to a clinician

No scare tactics. No shame. Just straightforward education, clinical perspective, and honest conversation. Because if people are talking about it quietly, it’s probably time to talk about it accurately.

In this episode of The Heavy Truth, we wade into one of the most misunderstood conditions in obesity medicine: lipedema—the fat disorder that's not lymphedema, not “just weight gain,” and definitely not something your aunt on Facebook should be diagnosing.

Ben, Amy, and Michael break down the hallmark signs, stages, and why so many women are misdiagnosed, all while sprinkling in our signature brand of science-backed sass. We cover how lipedema behaves differently than typical adiposity, why calorie restriction alone often fails, and how to identify patterns that point away from “obesity alone” and toward a complex connective tissue disorder.

Because we’re obesity specialists, we dig into:

• Why lipedema fat doesn’t respond to typical weight-loss interventions

• How GLP-1s can help some symptoms but won’t cure structural fat

• The overlap with metabolic health (and why it’s still crucial)

• Supportive treatments: compression, manual lymph drainage, exercise types that help—and ones that make patients feel like angry seals

• When to refer patients for surgical management and resources to refer to.

This episode gives you the tools to recognize lipedema early, treat patients compassionately, and stop telling people to “just lose weight” when biology is clearly playing a more complicated game and resources to assist.

This week on The Heavy Truth, we’re diving deep into the infamous “Ozempic Face” — that gaunt, saggy look the internet loves to panic about. We break down what actually causes it, who’s at risk, and the simple, science-backed ways to keep your face looking healthy, full, and decidedly not like you’ve been living off iced coffee and stress alone.

We’ll talk collagen, resistance training, protein targets, smart weight-loss pacing, and why your face sometimes drops hints faster than your bathroom scale. If you want the results without the “I just survived a Victorian illness” aesthetic… this episode is your blueprint.

And somewhere in the middle — or maybe the end, or maybe right when you least expect it — we drop a not-so-little announcement. Let’s just say one of your hosts has something very big (and very tiny) on the way. No spoilers… but crib assembly may soon become part of someone's step count.

Tune in, learn a lot, laugh a little, and catch the hint. This one’s loaded.