Are GLP-1 weight loss injections really the breakthrough they're being made out to be? Or are we missing some of the bigger psychological and physical questions?
From Ozempic, Wegovy and Mounjaro to "food noise", binge eating, body image and weight stigma, GLP-1 medications are dominating conversations online. But are they really the answer?
In this episode of Once Upon a Binge, host and psychotherapist Becca Robinson sits down with nutritional therapist Lisa Unger for a balanced, evidence-informed conversation about the benefits, risks and unanswered questions surrounding GLP-1 medications.
Rather than taking a "for or against" position, this episode explores the complexity behind these drugs—including why they can be genuinely life-changing for some people, why they may not work for others, and the potential psychological and physical risks anyone should know before making a decision.
They discuss:
01:39 Why GLP-1s are divisive
02:57 Clients and eating disorders
05:26 Poll results and why now
06:42 How GLP-1s work
10:27 Research gaps and dosing
12:17 Weight loss vs food noise
13:54 Shame and fatphobia pressure
17:00 When it fails and coping swaps
20:46 Therapy without food noise
24:42 Nutrition and muscle loss risks
27:21 Training Injuries Concerns
28:21 Low Energy and Nutrition
28:43 Staying on for Life
31:20 Shame and Medication Parallels
32:56 Eating Disorder Motivations
34:56 Access Risks and Black Market
39:30 Body Image Backlash
43:12 Food Culture and Portions
45:13 No Magic Wand Wrap Up
49:16 Final Thoughts and Feedback
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Connect with Becca:
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Connect with Lisa: