X Commandment X of X Commandment X: Plan for the Wean — A Program That Never Plans Your Exit Was Never Designed to End This was never supposed to be forever. PM Dr. Paul Miranda, MD · Emergency Medicine · Obesity Medicine | 5 min read Why the Exit Plan Matters From Day One Summit…
IX Commandment IX of X Commandment IX: Communicate Before You Crisis — The Patients Who Struggle Are the Ones Who Stay Quiet Not the ones with side effects. The ones who don’t say anything. PM Dr. Paul Miranda, MD · Emergency Medicine · Obesity Medicine | 4 min read What I’ve Actually Seen in Practice…
VIII Commandment VIII of X Commandment VIII: Avoid Ultra-Processed Foods — When You’re Eating Less, Every Bite Has to Count Food quality becomes the whole game once quantity drops. PM Dr. Paul Miranda, MD · Emergency Medicine · Obesity Medicine | 5 min read Why Food Quality Matters More Now, Not Less Before this medication,…
VI Commandment VI of X Commandment VI: Eat Slowly. Stop Before Full. — Your Fullness Signal Now Runs on a Delay Outpace it, and you’ll pay for it within the hour. PM Dr. Paul Miranda, MD · Emergency Medicine · Obesity Medicine | 4 min read Why This Medication Changes the Rules GLP-1 medications work…
VII Commandment VII of X Commandment VII: Eliminate Liquid Calories — A Calorie You Drink Disappears A calorie you eat, you actually feel. PM Dr. Paul Miranda, MD · Emergency Medicine · Obesity Medicine | 4 min read Why Liquid Calories Undermine Everything Else Sugary drinks, juice, sweetened coffee, and alcohol share a common problem:…
V Commandment V of X Commandment V: Sleep Is Non-Negotiable — You Cannot Out-Diet a Sleep Debt The most underrated variable in this entire program. PM Dr. Paul Miranda, MD · Emergency Medicine · Obesity Medicine | 4 min read Sleep Is Metabolic, Not Just Restful Patients rarely bring up sleep when we talk about…
IV Commandment IV of X Commandment IV: Lift Heavy Things — The One Habit That Protects Everything Else Muscle you don’t fight for is muscle you lose. PM Dr. Paul Miranda, MD · Emergency Medicine · Obesity Medicine | 5 min read The Part of the Story Most Programs Skip GLP-1 medications are remarkably effective…
III Commandment III of X Commandment III: Prioritize Protein — The Macro That Decides What You Actually Lose Not all weight loss is the same weight loss. PM Dr. Paul Miranda, MD · Emergency Medicine · Obesity Medicine | 5 min read The Weight You Lose Isn’t All Fat Every patient wants the scale to…
Dr. Paul Miranda on his own lifelong struggle with weight, 20 years in medicine, and why he built Summit as the physician-led metabolic practice he wished had existed.
Not all weight lost on a GLP-1 is fat — some is muscle. Dr. Miranda explains the difference between getting lighter and getting healthier.
