Tula Medical Weight Loss & Wellness

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Tula Medical Weight Loss & Wellness

Weight Management Doctor | 20+ years experience | Comprehensive weight loss program

Dr. Sejal Desai is a double board certified Obesity and Family Medicine physician who works with patients in Texas to customize a comprehensive weight loss program through lifestyle modifications and evidence based medicine.

08/12/2026

This week NBC Washington published a story confirming something I tell my patients every single week.

For some women in perimenopause, their workout is making weight loss harder. Not easier.

During perimenopause and menopause, metabolic disruptions change the way the body manages cortisol. Typically estrogen would act as a buffer for stress levels. But when estrogen levels decline, cortisol levels run high and remain elevated much longer after a stressor.

Your intense workout is a stressor. A necessary and beneficial one when managed correctly. But without the right recovery, the right type of movement, and a hormonal strategy underneath it, the cortisol spike from that workout can stay elevated for hours. And chronically elevated cortisol stores fat.

Swipe through all four myths, save this, and share it with a woman who is working out harder than ever and still not seeing results. She deserves this explanation. 📌

Comment MOVE below and I will reach out with more. 💛

08/11/2026

This quote from one of the most respected endocrinologists and obesity medicine experts in the country just went viral on NBC Washington this week. And every woman in perimenopause who has been killing herself at the gym with no results needs to read it.

Dr. Rekha Kumar of Weill Cornell Medicine explained that when estrogen levels decline during menopause, cortisol levels are able to run high and remain elevated much longer after a stressor. Chronically high cortisol pushes the body to hold onto fat especially around the abdomen and can also disrupt sleep and increase cravings for high-sugar, high-fat foods all of which make weight control harder.

Here is what this means practically for you.

If you are doing intense cardio five or six days a week and your belly fat is not moving, your workout may literally be working against you. Every high-intensity session that keeps cortisol elevated for hours afterward is sending a signal to your body to store fat. Not burn it.

This is not an excuse to stop exercising. Movement is essential. The type and timing of movement matters enormously in perimenopause.

About 60 to 70% of women experience menopausal weight gain because of muscle mass reduction and hormonal changes, and for some women their workouts may be making things worse.

The solution is smarter movement. Walk daily. Strength train two to three times per week. Allow recovery between sessions. Manage stress as aggressively as you manage your workout schedule.

Save this and share it with a woman who is exhausted from working out hard with nothing to show for it. She deserves this answer. 📌

08/09/2026

If you’re doing “everything right” but the scale still won’t budge, please don’t automatically blame yourself.

Especially in your 40s and beyond, changes in metabolism can make weight management more complicated than simply “eat less and move more.”

One piece of the puzzle is insulin resistance. Your blood sugar can still look normal while your body is working harder to keep it there, meaning changes in insulin sensitivity may happen before your A1C becomes abnormal.

And because insulin plays an important role in how the body stores and uses energy, metabolic health can affect hunger, cravings, fat storage, and how difficult weight loss feels.

That’s why “your labs are normal” doesn’t always tell the whole story.

If you’re noticing unexplained weight gain, increased cravings, or more weight around your middle, it may be worth having a deeper conversation with your doctor about your metabolic health.

Your body isn’t failing you. Sometimes we simply need a more complete picture.💛

Follow for more evidence-based tips on midlife metabolism, hormones, and sustainable weight management.

Have you ever been told your labs were “normal” even though you knew something felt different? Tell me below. 👇

08/01/2026

Five myths about GLP-1 medications that are still circulating in 2026. Still causing women to delay or decline treatment that could change their health trajectory.

New clinical data this month shows that women in perimenopause on Foundayo lost up to 30.4 pounds and postmenopausal women lost up to 28.2 pounds, with results demonstrated across all stages of menopause including in women with type 2 diabetes.
ScienceDirect

A 2026 clinical review confirms observational data suggesting potential synergistic effects when hormone therapy is combined with GLP-1 receptor agonists, meaning the combination of HRT and GLP-1 medications may be more effective than either treatment alone for perimenopausal and postmenopausal women with obesity.
Soard

The science is clear. The myths are not.

Swipe through all five, save this, and share it with every woman who has been held back by any of these misconceptions. She deserves the updated facts. 📌

Comment MYTH and the number that hit closest to home for you. I read every single one. 👇

07/31/2026

A new study published in Women’s Health journal modeled obesity trends among US women aged 40 to 64 all the way to 2050. And the trajectory is not going in the right direction.

During perimenopause, falling estrogen levels shift fat distribution from the hips and thighs toward abdominal stores, increase insulin resistance, and reduce energy expenditure. These physiologic changes are accompanied by mood disturbance, sleep disruption, and reduced physical activity, all of which make sustained weight management difficult. Obesity during this period accelerates the development of cardiometabolic diseases, musculoskeletal disorders, and certain cancers.

What makes this study different from others I have read is that it projects these trends forward. Decade by decade. State by state. To 2050.

And what it tells me as a physician is something I want to say directly to every woman reading this.

You are not just managing your weight right now. You are either investing in or borrowing against your health for the next twenty to thirty years. The decisions made during perimenopause, the care received or not received, have compounding consequences that show up in cardiovascular risk, cognitive decline, bone density, and metabolic disease for the rest of your life.

This is not meant to frighten you. It is meant to motivate a different conversation with your physician. One that starts now. Not at 60.

Save this and share it. 📌 Comment 2050 below if this landed for you. 👇

#2050

07/28/2026

What I Learned in France as an Obesity Medicine Physician

One thing that stood out to me wasn’t the croissants, the cheese, or the wine. It was the lifestyle.

People walked more, meals were enjoyed slowly, portions were smaller, and eating was often a time to connect with family and friends instead of rushing through the day.

It reminded me that no single food determines your health. Your overall pattern matters most: how much you eat, how you eat, how often you move, how connected you feel, and the habits you practice consistently.

The lesson isn’t to fear food. It’s to build a lifestyle where food can be enjoyed without consuming your life.

💬 What’s one healthy habit you’ve been trying to build?

07/25/2026

Some decisions change your career. Others change your life. This one did both.

I’m honored to be featured by Med Story Studio, where I shared one of the most personal chapters of my journey.

During the pandemic, I made the difficult decision to leave a stable medical position so I could be more present for my children and build a practice that truly reflected the kind of physician I wanted to be.

It was the hardest decision I’ve ever made.
It was also the best.

That experience continues to shape how I care for my patients today. I believe medicine should never be one-size-fits-all. Every person deserves to feel heard, supported, and cared for with compassion and evidence-based guidance.

Thank you to Med Story Studio for telling this story so thoughtfully.

📖 Read the full feature here:
https://news.medstorystudio.com/raising-family-medical-career-desai

💛 If this story resonates with you, I’d love to hear from you.
Leave a ❤️ below or share this with someone who needs the reminder that it’s okay to choose.

Address

Houston, TX

Telephone

+18325697470

Website

http://www.tulawlw.com/

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