ShillMed Weight Loss and Lifestyle Medicine Center

02/03/2026

02/02/2026

Groundhog Day reminder: Doing the same thing over and over usually gets you the same results. If you want something different this year, it might be time to try something different. 💪 Call ShillMed today and let's try something new together.

02/01/2026

So fun to see our patients thrive!!

01/31/2026

We love watching our patients thrive!!!

01/30/2026

This

The sober “Reality Meets Science” take on GLP lawsuits:

1) Benefits are real (and measurable).
For appropriate patients, GLP meds can meaningfully improve cardiometabolic risk, OSA, fatty liver, and quality of life. They can also be life-changing for satiety regulation and CRRAHP (calorie rich, refined and hyper palatable) “food noise”.

2) But risks are real and must be discussed plainly. Most side effects are GI (nausea, constipation/diarrhea), but there are clinically meaningful risks that deserve clear informed consent and monitoring: dehydration, gallbladder disease risk, pancreatitis warning signals, worsening GERD, severe delayed gastric emptying symptoms, and rare but serious complications. (And yes, the media will amplify worst-case anecdotes — we can acknowledge them without generalizing.)

3) Lawsuits are not proof of causation - but they can surface legitimate safety gaps.
Litigation is about alleged warning/labeling/marketing failures and harms in individuals — it doesn’t automatically mean the medication is “unsafe” broadly. It does mean patients and clinicians should be extra rigorous about screening, counseling, and follow-up.

4) The “right” question isn’t “GLP’s: good or bad?”
It’s: Who is the right candidate, at what dose/titration speed, with what monitoring, and what long-term plan?

5) The long-term plan matters.
These meds work best as part of a system: protein adequacy, resistance training, fiber/whole foods, sleep, strength preservation, and a realistic maintenance strategy (including what happens if the med is stopped).

A practical “RMS” checklist you can discuss with your licensed prescriber:
• Start low, titrate slow; don’t race the dose.
• Protein + resistance training to protect lean mass.
• Hydration + electrolytes as needed; manage constipation proactively.
• Screen gallbladder history, pancreatitis risk, severe reflux/gastroparesis symptoms.
• Clear red flags: persistent vomiting, severe abdominal pain, inability to hydrate, black/tarry stool, fainting, vision changes → urgent evaluation.

01/30/2026

For those cold winter nights

01/30/2026

What do you know about your liver health? This is the perfect time to learn more! Take advantage of our February special and get your FibroScan for only $50 when you pre-pay. Learn more and book your appointment on our website!

Non-invasive FibroScan testing in Spokane, WA. Assess liver fat and fibrosis in minutes with no pain or downtime. Book online at Shill Med.

01/29/2026

Sometimes really hard things happen that are out of our control, but we always have a choice how we are going to respond. One of our members recently lost her sister, but she has taken her grief and pain and created something really beautiful that will bless the lives of other. Take a moment and see how you might be able to contribute to this great cause: https://www.facebook.com/profile.php?id=61583550808318

Support The B.E. Resilient Foundation in providing community assistance to cancer patients. Donate to us and help spread hope!

01/29/2026

Looking to lose weight without a GLP-1? We’ve got you covered with our full-support medically supervised weight loss program. Text us at 509-303-4001 to learn more and get started today!

01/28/2026

Chocolate Peanut Butter Shakes are here!!! Come try them today!!!!

01/28/2026

01/27/2026

Let us help you lose weight the right way. Dr. Shill will help you create a plan that works for you and your lifestyle. We will also have you scan every time you come in the office so we can make sure you are losing fat and maintaining muscle... and not just losing water weight 😉