Tyler Perrin Bellelo, M.D.

01/28/2026

Always circle back to the foundation.

https://www.facebook.com/share/r/1H2xMMVb9d/

01/28/2026

Estrogen isn’t one-size-fits-all.
The route matters — for safety and metabolic health.

— Tyler Perrin-Bellelo, MD
Board-Certified Internal Medicine & Obesity Medicine

01/28/2026

As 2026 begins, Ochsner Health physicians recommend adults take a proactive approach to preventive care by scheduling health screenings designed to detect diseases early, often before symptoms appear. From cardiovascular and metabolic assessments to cancer and age-related exams, many evaluations play a critical role in improving health outcomes.

“We want to find any underlying issues so we can do timely interventions with medications, lifestyle changes or a combination, before a person experiences serious complications,” said Tyler Perrin-Bellelo, MD, FACP, D-ABOM, a primary care and obesity medicine specialist at Ochsner Lafayette General Internal Medicine. “It’s okay if someone hasn’t been to a doctor in a while. We want to motivate them and support them in their health journey.”

https://www.nola.com/sponsored/ochsner_new_orleans/ochsner-s-essential-list-top-health-screenings-adults-need-to-schedule-in-2026/article_6b598f93-5a17-4280-a0a3-5eb389c70a62.amp.html

Ochsner Lafayette General

01/27/2026

Estrogen doesn’t cause weight loss.
It helps determine where fat is stored.
That difference matters.

— Tyler Perrin-Bellelo, MD
Board-Certified Internal Medicine & Obesity Medicine

01/26/2026

Evidence based HRT supports fat distribution.
GLP-1s reduce visceral fat and improve metabolic risk.
Muscle preservation still matters.

— Tyler Perrin-Bellelo, MD
PS: give me recs for new ring light for people with glasses 😛

01/25/2026

Dr. Perrin-Bellelo said “screenings for blood pressure, cholesterol and A1C give doctors a baseline for each individual. Ideally, these screenings begin at age 20, although they are recommended for people of all ages, and especially for those age 40 and over. These measurements help physicians identify early signs of hypertension, heart disease and diabetes, which can cause damage if left undetected.”

As 2026 begins, Ochsner Health physicians recommend adults take a proactive approach to preventive care by scheduling health screenings designed to detect diseases early, often before symptoms appear. From cardiovascular

01/23/2026

Progress can happen without the scale moving.

Visceral fat responds to training and activity.

— Tyler Perrin-Bellelo, MD
Board-Certified Internal Medicine & Obesity Medicine

01/22/2026

Evidence shows that ~5% total body weight loss can reduce visceral fat by ~10–20%, with meaningful improvements in insulin sensitivity, liver fat, lipids, and cardiometabolic risk.
Big health gains start earlier than most people think.

Part 4 next: how visceral fat and metabolic health can improve even when the scale doesn’t move.

— Tyler Perrin-Bellelo, MD
Board-Certified Internal Medicine & Obesity Medicine

01/21/2026

Same scale.
Different risk.
Part 3 drops tomorrow.

01/20/2026

Same effort. Different waist.
Perimenopause & menopause change fat distribution.
This is physiology.
More coming.

Tyler Perrin-Bellelo, MD, FACP, DABOM
INTERNAL MEDICINE/OBESITY MEDICINE

01/19/2026

You’re not broken — you’re hormonally rewired.

This series is coming. 👀🔥

Metabolic momentum loading…


— Tyler Perrin-Bellelo, MD | Obesity Medicine

01/18/2026

Quad dominance + tight gastrocnemius/hamstrings can limit you — and I was feeling it.

Fun fact: Pilates was created by Joseph Pilates — a boxer, gymnast, and bodybuilder.
It was designed to build strength, control, and resilience, not just flexibility.
So no… it’s not “anti-lifting.”
It was meant to support it.

Huge thank you to my friend and colleague DNP Brandie Courville with Belle Vie Physical Therapy & Pilates for having me! Grateful for expertise that prioritizes recovery, longevity, and moving well. 💙


Belle Vie Physical Therapy + Pilates
Brandie Courville

Pilates is the missing link.

Strength training builds power.
Cardio builds endurance.
Pilates builds the foundation that lets both work better — and longer.

✨ Benefits of adding Pilates to your weight training + cardiovascular wellness program:
• Improves core strength and stability
• Enhances mobility and joint health
• Supports proper movement patterns
• Reduces injury risk
• Improves breathing, posture, and body awareness
• Helps your strength and cardio gains actually stick

Today we had the honor of hosting sharing movement, conversation, and the importance of integrating mindful, intelligent movement into a complete wellness program.

At Belle Vie, we believe longevity lives at the intersection of strength, endurance, and control — and Pilates is where it all comes together.

Move well. Train smart. Live fully. 💫