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What We Don't Hear About GLP-1s: Mental Health & Identity with Kate Lyman
Manage episode 515057359 series 2971372
Are you considering GLP-1 medications like Semaglutide, Tirzepatide, or Zepbound for weight loss, or do you know someone who is? This conversation provides a nuanced conversation about GLP-1s and considerations around starting them.
In this episode, host Nikki Naab-Levy chats with Kate Lyman, a nutrition coach with a Master's in public health about the unspoken potential ramifications of using these drugs, from a mental health and behavior change perspective.
In this episode, you'll learn:
- The difference between the clinical and social media definitions of "food noise". 
- Why weight loss on a GLP-1 does not automatically equate to better body image or health. 
- The potential for GLP-1s to replace "food noise" with new fixations or obsessions in (e.g., scale-watching, body composition) in some individuals. 
- The mixed mental health outcomes of GLP-1s, including studies linking them to an elevated risk of anxiety, major depression, and suicidal behavior in some populations, while others (like those with binge eating disorder) may see positive benefits. 
- Recommended lifestyle support and interventions that can be used alongside medication to ensure fat loss while protecting and maintaining muscle mass and bone density. 
- The importance of having coping tools outside of food when a previous coping mechanism is removed. 
- The cultural and identity shifts that often come with rapid body weight loss and being treated differently by the outside world. 
- Why these medications are currently intended for long-term use and aren't necessarily an appropriate intervention for all individuals. 
Timestamps
- 00:00 | Intro: Cultural Context, Mental Health, and Nuance about Who Should or Shouldn't Take GLP-1s. 
- 00:40 | Introducing Kate Lyman: Behavioral Health Expert & Nutrition Coach 
- 03:00 | The Need for Education and Behavioral Support with GLP-1s 
- 05:23 | Weight Loss Doesn't Automatically Equal Health: Coping Tools Outside of Food 
- 06:44 | Defining Food Noise Beyond Pop Culture and Social Media 
- 09:41 | The Potential for Obsession Shifts: Food Noise Replaced by Scale Focus 
- 14:56 | Mental Health & GLP-1s: What the Literature Says About Anxiety & Depression 
- 24:10 | Essential Lifestyle Pillars: Protein, Strength Training, and Water Intake 
- 28:06 | The Long-Term Reality of Taking a GLP-1 to Maintain Weight Loss 
- 40:04 | The Role of Stigma & Weight Bias in Influencing GLP-1 Usage 
Connect with Kate
- Name: Kate Lyman 
- Instagram: @klnutrition 
- Website: https://www.katelymannutrition.com/ 
- Podcast: How to Fitness Podcast 
Research Studies & Papers Referenced
- What Is Food Noise? A Conceptual Model of Food Cue Reactivity [PMID: 38004203] 
- Association of GLP-1 Receptor Agonists With Risk of Suicidal Ideation and Behaviour: A Systematic Review and Meta-Analysis [PMID: 39945396] 
- Use of glucagon-like peptide-1 receptor agonists in eating disorder populations [PMID: 38135891] 
Connect with Nikki
- Instagram: @naablevyfitness 
- Website: http://naablevy.com 
Free Nutrition & Fitness Resources
97 episodes
Manage episode 515057359 series 2971372
Are you considering GLP-1 medications like Semaglutide, Tirzepatide, or Zepbound for weight loss, or do you know someone who is? This conversation provides a nuanced conversation about GLP-1s and considerations around starting them.
In this episode, host Nikki Naab-Levy chats with Kate Lyman, a nutrition coach with a Master's in public health about the unspoken potential ramifications of using these drugs, from a mental health and behavior change perspective.
In this episode, you'll learn:
- The difference between the clinical and social media definitions of "food noise". 
- Why weight loss on a GLP-1 does not automatically equate to better body image or health. 
- The potential for GLP-1s to replace "food noise" with new fixations or obsessions in (e.g., scale-watching, body composition) in some individuals. 
- The mixed mental health outcomes of GLP-1s, including studies linking them to an elevated risk of anxiety, major depression, and suicidal behavior in some populations, while others (like those with binge eating disorder) may see positive benefits. 
- Recommended lifestyle support and interventions that can be used alongside medication to ensure fat loss while protecting and maintaining muscle mass and bone density. 
- The importance of having coping tools outside of food when a previous coping mechanism is removed. 
- The cultural and identity shifts that often come with rapid body weight loss and being treated differently by the outside world. 
- Why these medications are currently intended for long-term use and aren't necessarily an appropriate intervention for all individuals. 
Timestamps
- 00:00 | Intro: Cultural Context, Mental Health, and Nuance about Who Should or Shouldn't Take GLP-1s. 
- 00:40 | Introducing Kate Lyman: Behavioral Health Expert & Nutrition Coach 
- 03:00 | The Need for Education and Behavioral Support with GLP-1s 
- 05:23 | Weight Loss Doesn't Automatically Equal Health: Coping Tools Outside of Food 
- 06:44 | Defining Food Noise Beyond Pop Culture and Social Media 
- 09:41 | The Potential for Obsession Shifts: Food Noise Replaced by Scale Focus 
- 14:56 | Mental Health & GLP-1s: What the Literature Says About Anxiety & Depression 
- 24:10 | Essential Lifestyle Pillars: Protein, Strength Training, and Water Intake 
- 28:06 | The Long-Term Reality of Taking a GLP-1 to Maintain Weight Loss 
- 40:04 | The Role of Stigma & Weight Bias in Influencing GLP-1 Usage 
Connect with Kate
- Name: Kate Lyman 
- Instagram: @klnutrition 
- Website: https://www.katelymannutrition.com/ 
- Podcast: How to Fitness Podcast 
Research Studies & Papers Referenced
- What Is Food Noise? A Conceptual Model of Food Cue Reactivity [PMID: 38004203] 
- Association of GLP-1 Receptor Agonists With Risk of Suicidal Ideation and Behaviour: A Systematic Review and Meta-Analysis [PMID: 39945396] 
- Use of glucagon-like peptide-1 receptor agonists in eating disorder populations [PMID: 38135891] 
Connect with Nikki
- Instagram: @naablevyfitness 
- Website: http://naablevy.com 
Free Nutrition & Fitness Resources
97 episodes
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