GLP-1's- A Weight Loss Meds Episode episode artwork

EPISODE · Jul 30, 2026 · 20 MIN

GLP-1's- A Weight Loss Meds Episode

from Real Over Ideal · host Vanessa Gorelkin

Understanding the Cultural Shift Around Body Image and GLP-1s In this episode, Vanessa Gorelkin explores the rise of GLP-1 drugs like Ozempic and their complex impact on body image, health perceptions, and societal norms. She offers a clear, insightful critique of the trend, emphasizing that health and worth are about much more than body size.Key Topics: The cultural and social media influence on body image and the normalization of weight loss drugs The biological and physiological effects of GLP-1 medications and their long-term implications How societal narratives link thinness to health, morality, and worth The importance of redefining health beyond appearance and size Practical advice for navigating body acceptance and resisting the shrinking trend The science behind weight regain after stopping medications and potential side effects The significance of body neutrality and affirming identity outside of societal standards Timestamps: 00:37 - Introduction: Body not a trend, physiology fights back 00:52 - Personal background and purpose of the episode 01:09 - The cultural shift: GLP-1 drugs and social media narratives 01:40 - Advertising and societal pressures to slim down 02:28 - Why thinness doesn’t equate to longevity 03:08 - Body acceptance and rejecting the trend of shrinking 03:43 - The impact of canceling food and appetite through medication 04:06 - Distinguishing between medical use and societal normalization 04:27 - The original purpose of GLP-1 medications in diabetes management 05:06 - The projected scale of GLP-1 usage in America by 2030 05:29 - Framing weight loss as a moral versus medical issue 06:08 - The fragility of weight loss achieved through medications 06:58 - Research on weight regain after stopping GLP-1s 07:23 - Biological mechanisms behind weight regain and hunger hormones 07:38 - The body's rebound effect and metabolism adaptation 08:18 - The behavioral side: scaffolding and emotional patterns 08:45 - Societal obsession: thinness as moral virtue 09:11 - Side effects and health risks of GLP-1s 09:25 - Chronic issues like gastroparesis, gallstones, and nutritional deficiencies 10:20 - Mood disturbances and long-term effects for diabetics 11:10 - The importance of existing fully in your body as resistance 11:49 - Moving away from transformation narratives toward acceptance 12:16 - Redefining health: from moral to functional and holistic 12:46 - The difference between appearance and actual health metrics 13:16 - Reclaiming personal health choices and self-trust 14:06 - Challenging the association of thinness with health and effort 15:30 - Reframing health with new vocabulary: strength, stability, connection 16:03 - The importance of non-morally judging health status 16:41 - The value of tapering off medications and understanding reversibility 17:14 - Informed decision-making about long-term medication use 17:25 - Practical tips: social media detox, eating in public, mirror practices 17:55 - Challenging internalized shame and societal expectations 18:25 - Embracing your body as your home, not a project to fix 19:07 - Closing thoughts: authenticity and self-worth beyond weightResources & Links: Vanessa Gorelkin — for therapy and body image support Connect with Vanessa Gorelkin: Website Click here to get in touch Thanks for listening!Please share the show with anyone who may enjoy it. We'd love it if you'd leave us a 5 star review wherever you're listening- it helps listeners find the show and we read every review.If you'd like to submit an "Untangle This" question, a comment, or an episode idea-- Email us:[email protected] is available to consult professionally with individual clients. If you'd like to work with Vanessa , reach out here:https://vanessagorelkin.com/contact-us#12398ed6-3711-4e15-ae41-4711059fd6abIf you'd like to read about Vanessa's background, treatment perspective and techniques, or other handy information about her practice, check out her Psychology Today profile here:https://www.psychologytoday.com/us/therapists/vanessa-gorelkin-scottsdale-az/809467

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Understanding the Cultural Shift Around Body Image and GLP-1s In this episode, Vanessa Gorelkin explores the rise of GLP-1 drugs like Ozempic and their complex impact on body image, health perceptions, and societal norms. She offers a clear, insightful critique of the trend, emphasizing that health and worth are about much more than body size. Key Topics: The cultural and social media influence on body image and the normalization of weight loss drugs The biological and phy...

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