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I’ve been a registered dietitian for more than 25 years and have spent the
last 15 of those years specializing in eating disorders. In that time, I’ve
worked with people across a wide range of body sizes, health
experiences, and relationships with food—and I’ve learned that the more I
know, the more I realize how much I don’t know.
That’s especially true when it comes to GLP-1 receptor agonists like
semaglutide and liraglutide (Ozempic, Wegovy, and others). These
medications have stirred up passionate reactions across the board: hope,
anger, fear, confusion, relief, and judgment. The black-and-white thinking
around them is loud and often oversimplified, which makes it even harder
for someone to make a decision rooted in their values, lived experience,
and needs.
This guide is for anyone considering these medications—or trying to make
sense of them for a loved one.
What you'll find inside includes:
What GLP 1 drugs are, how they work, and what they were originally designed to treat
Why they're so controversial - including their cultural, psychological, and political implications
The broader cultural forces shaping our desires - including fatphobia, anti-Blackness, distorted masculinity, and beauty ideals rooted in white supremacy
How to assess your own motivations, internalized pressures, and lived experiences
The potential risks, side effects, and ripple effects of GLP-1s - physical, emotional, and relational.
What might happen if you stop taking them - and how to navigate that with care
What a harm reduction approach can look like - whether you take the drugs, avoid them, or are still deciding
How to stay rooted in your values, body trust, and self-compassion, no matter what you choose
I hope that the information in this guide will help you better understand this landscape and work with the nuance of this complicated decision.
I’ve been a registered dietitian for more than 25 years and have spent the
last 15 of those years specializing in eating disorders. In that time, I’ve
worked with people across a wide range of body sizes, health
experiences, and relationships with food—and I’ve learned that the more I
know, the more I realize how much I don’t know.
That’s especially true when it comes to GLP-1 receptor agonists like
semaglutide and liraglutide (Ozempic, Wegovy, and others). These
medications have stirred up passionate reactions across the board: hope,
anger, fear, confusion, relief, and judgment. The black-and-white thinking
around them is loud and often oversimplified, which makes it even harder
for someone to make a decision rooted in their values, lived experience,
and needs.
This guide is for anyone considering these medications—or trying to make
sense of them for a loved one.
What you'll find inside includes:
What GLP 1 drugs are, how they work, and what they were originally designed to treat
Why they're so controversial - including their cultural, psychological, and political implications
The broader cultural forces shaping our desires - including fatphobia, anti-Blackness, distorted masculinity, and beauty ideals rooted in white supremacy
How to assess your own motivations, internalized pressures, and lived experiences
The potential risks, side effects, and ripple effects of GLP-1s - physical, emotional, and relational.
What might happen if you stop taking them - and how to navigate that with care
What a harm reduction approach can look like - whether you take the drugs, avoid them, or are still deciding
How to stay rooted in your values, body trust, and self-compassion, no matter what you choose
I hope that the information in this guide will help you better understand this landscape and work with the nuance of this complicated decision.