EP 190: The GLP-1 Episode: Science, Nutrition, and the Work No Medication Can Do

You’ve seen the headlines. You’ve heard the success stories. Maybe you’ve been prescribed a GLP-1 yourself, or you’re thinking about it. But between the hype and the fear, the full picture is hard to find.In this episode, Dietitian Dude, David Orozco, registered dietitian nutritionist, certified intuitive eating counselor, exercise physiologist, breaks down the GLP-1 conversation in three parts.First, he names the tension most providers skip: what these medications actually do, what they don’t, and why the decision to take one carries more emotional weight than any 15-minute appointment can hold. Then he walks through five evidence-based nutritional must-haves for anyone currently on a GLP-1. From the muscle loss most people don’t see coming to the malnutrition risk hiding behind suppressed appetite. Finally, he tackles the plateau and weight regain reality, using the latest research from the STEP trials, the SEMALEAN study, and Lancet-published meta-analyses to reframe adaptation as biology — not failure.Drawing on nine peer-reviewed studies and rooted in his One Small Bite, intuitive eating, and weight-inclusive approach, David delivers the honest, shame-free conversation men deserve about GLP-1 medications. No verdicts. No moral panic. Just the science, the practical tools, and the internal work that holds.