
About the Episode In today's episode, Dr. Brendan Byrne is interviewing Lisa Maks, a Diabetes Clinical Nurse Specialist at Providence Health Care with 38 years in nursing, 22 of them in diabetes care. She is an Adjunct Professor at the University of British Columbia and serves on the Diabetes Canada Clinical Practice Guidelines committee. She is also a LifestyleRx patient, which gives her a rare view from both sides of the clinic.About the GuestLisa Maks is a Diabetes Clinical Nurse Specialist at Providence Health Care with 38 years in nursing, 22 of them in diabetes care. She is an Adjunct Professor at the University of British Columbia and serves on the Diabetes Canada Clinical Practice Guidelines committee. She is also a LifestyleRx patient, which gives her a rare view from both sides of the clinic.About The Path PodcastThe Path is about simple strategies for better metabolic health. We break down metabolic disease, prediabetes, and type 2 diabetes through patient FAQs, better health decisions, and honest interviews with patients and the physicians who treat them.Learn More About LifestyleRx: https://lifestylerx.io/Ask us a video question! https://ask-a-question.lifestylerx.caEpisode 112 | The Path PodcastTimestamps 0:00 Intro1:03 Welcome & Lisa's background3:12 Obesity and weight cycling5:12 How she discovered LifestyleRx7:01 – First impressions of the program10:52 – Consistency over intensity14:49 – How physiology shapes behavior15:59 – All-or-nothing mindset and food noise18:19 – Outcome-based vs. process-based goals20:08 – Measuring success beyond the scale23:59 – Listening to your physiology26:06 – The Amundsen vs. Scott metaphor28:17 – Deciding to start a GLP-132:06 – How GLP-1 quieted food noise34:26 – Obesity as a dysregulated system36:26 – Facing the "cheating" stigma37:53 – Willpower and hedonistic behavior41:03 – Our evolutionary food mismatch44:49 – LifestyleRx's prevention mission46:22 – Food quality and social determinants50:07 – Dopamine and engineered foods50:55 – "Lifestyle first" vs. "lifestyle next"51:03 – Weight management as an ongoing practice54:19 – Closing thoughts54:45 - Outro
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