{"podcast":{"title":"Dr. Paika Podcast","slug":"dr-paika-podcast-7573769","podcast_index_feed_id":7573769,"rss_url":"https://feeds.transistor.fm/dr-paika-podcast","website_url":"https://mohammedpaika.com/dr-mohammed-paika","image_url":"https://img.transistorcdn.com/1kYkQ-AF4msM0XLeGkmSFjtXbngCZI-0rCzfM8GVoIQ/rs:fill:0:0:1/w:1400/h:1400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lNGNl/MTliYWE0MmYyMTY1/NWNjZTA2MWU0Zjgx/N2I5YS5wbmc.jpg","author":"Mohammed Paika","episode_count":58,"summary":"Welcome to the Dr. Paika Podcast — where medicine, fitness, and humanity come together. Hosted by Dr. Mohammed K. Paika, M.D., double board-certified in obesity & internal medicine with over two decades of hospital experience, this show dives deep into the science of health, obesity, longevity, and mindset — but with compassion, not complexity. From hospital medicine to the gym floor, from patient care to personal growth — every episode blends real clinical insight with practical, inspiring stories that help you live better and think deeper. 💡 Topics include: Obesity & metabolic health Longevity & fitness Nutrition & preventive medicine Doctor insights from 20+ years in hospitals across the US! Mindset, mental health, and motivation 🎧 Subscribe for weekly conversations that are honest, empowering, and rooted in science — all from a doctor who believes medicine should heal the mind and body.","last_synced_at":null,"page_url":"https://stenobird.com/podcast/dr-paika-podcast-7573769"},"episode":{"title":"Qsymia Warning: Side Effects You Should Never Ignore","slug":"qsymia-warning-side-effects-you-should-never-ignore","published_at":"2026-05-05T22:45:00+00:00","page_url":"https://stenobird.com/podcast/dr-paika-podcast-7573769/qsymia-warning-side-effects-you-should-never-ignore","show_page_url":"https://stenobird.com/podcast/dr-paika-podcast-7573769","url":"https://share.transistor.fm/s/7477ab06","audio_url":"https://media.transistor.fm/7477ab06/4b042da6.mp3","summary":"#Qsymia #weightloss #obesity #sideeffects #doctorexplains Before you take Qsymia (phentermine/topiramate), you need to understand this. In this episode, Dr. Mohammed K. Paika—board-certified in Internal Medicine and Obesity Medicine—breaks down the real side effects, risks, and red flags associated with one of the most commonly prescribed weight loss medications. This is not fear-based medicine. This is clear, evidence-based guidance to help you use these medications safely and effectively. You’ll learn: The most common side effects (dry mouth, constipation, insomnia—and how to manage them) The serious risks you should never ignore (heart rate changes, mood symptoms, cognitive effects) Why brain fog and word-finding difficulty matter more than most people think Who should NOT be on Qsymia What to do if side effects start—and when to reduce or stop the medication Qsymia can be powerful. It can also be misunderstood. If you’re currently on it—or considering it—this is a conversation you need to hear. 📌 Remember: weight loss should never come at the cost of your mental clarity, heart health, or overall well-being. Timestamps 0:00 Intro — What You Need to Know About Qsymia 0:32 How Qsymia Works (Phentermine + Topiramate Explained) 1:15 Why Side Effects Matter More Than You Think 1:42 Common Side Effects (Dry Mouth, Constipation) 2:30 Sleep Issues & Why Timing Matters 3:05 Tingling Sensation (Paresthesia Explained) 3:38 Brain Fog & Cognitive Side Effects (Important) 4:25 Mood Changes & Mental Health Risks 5:05 Heart Rate & Blood Pressure Concerns 5:45 Serious Risks (Kidney Stones, Metabolic Acidosis) 6:30 Pregnancy Risk (Critical Warning) 7:05 Who Should NOT Take Qsymia 7:40 What To Do If You Have Side Effects 8:15 Final Takeaway — Safe & Smart Use 👨‍⚕️…","meta_description":"#Qsymia #weightloss #obesity #sideeffects #doctorexplains Before you take Qsymia (phentermine/topiramate), you need to understand this. In this episode, D…","key_points":[],"chapters":[],"topics":[],"duration_seconds":519,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/dr-paika-podcast-7573769/episodes/qsymia-warning-side-effects-you-should-never-ignore/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/dr-paika-podcast-7573769/qsymia-warning-side-effects-you-should-never-ignore.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}