The Full of Beans Podcast
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Why Binge Eating Disorder Is Being Missed by GPs: Screening, Stigma & GLP-1s with Dr Stella Kozmér

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This week on the Full of Beans podcast, Han is joined by Dr Stella Kozmér, an NIHR SPCR-funded Postdoctoral Researcher at the University of Exeter, a Researcher at the University of Oxford, and an incoming Trainee Clinical Psychologist at the University of Oxford. Coming from an Eastern European background, Stella's research focuses on the identification and management of binge eating disorder and bulimia nervosa in primary care settings, using mixed-methods research to inform NHS clinical guidelines, policy and practice. Her work is driven by her own lived experience, which she integrates into the core of what she does.

In This Episode:

  • Stella's personal and professional journey into binge eating disorder research
  • How Stella felt in recognising BED after a decade of not having a name for it
  • Why Stella felt stigma and shame disclosing her mental health issues in healthcare
  • Why lived experience is a strength in research, not a bias to hide
  • Why primary care screening tools for binge eating disorder and bulimia fall short
  • The problem with SCOFF and other outdated eating disorder screening criteria
  • How weight stigma affects whether binge eating disorder gets identified at all
  • Why GPs are hesitant to talk about BED without services to refer patients to
  • The real-world cost of untreated binge eating disorder and its comorbidities
  • How to use the diabetes care model as a blueprint without more funding
  • A review of GLP-1 medications for binge eating disorder
  • What the GLP-1 evidence does and doesn't tell us, and the misuse risks to consider
  • Why treatment for binge eating disorder must be personalised, not one-size-fits-all

⚠️ Content note: this episode discusses eating disorders (including binge eating disorder and bulimia), disordered eating, weight stigma, obesity, and prescription medication. Please take care while listening.

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