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March 24, 2025 51 mins

In today’s episode, we welcome back Barbie Boules, RDN. Also known as The Cognition Dietitian, Barbie specializes in women’s brain and metabolic health, and today she’s here to shed light on who these drugs are designed for, the potential benefits, the risks, and the reality of long-term use.

We discuss the science, history, and impact of GLP-1 medications - for weight loss and other outcomes. We also tackle the stigma surrounding weight loss drugs, the concept of “food noise,” and the vital role of nutrition and strength training when using these medications. As Barbie explains, these drugs are not just a quick fix but rather a tool that, when used appropriately, can help people regain control over their health. But they also come with considerations - side effects, muscle and bone health, and long-term adherence.

If you’re curious about weight loss medications - whether for yourself, a loved one, or just to better understand the conversation happening in the health space - this episode is packed with valuable insights. Tune in as we discuss the facts, debunk the myths, and offer actionable takeaways for anyone considering or just wanting to stay informed on this evolving topic.

“For people who’ve struggled with weight their entire lives, these medications can provide a sense of normalcy—where food is no longer a constant, intrusive thought.”

- Barbie Boules, The Cognition Dietitian

“If you’re on these medications, building and maintaining muscle is crucial for metabolic health, long-term weight management, and overall well-being.”

- Barbie Boules, The Cognition Dietitian

This week on Here’s the Deal: Fitness, Nutrition and Mindset for People Who Don’t Want Life to Suck:

  • The history of GLP-1 medications and how they evolved from diabetes treatment to weight loss solutions.
  • What GLP-1s actually do in the body and how they help regulate appetite and blood sugar.
  • The concept of “food noise” and how these medications impact hunger cues and compulsive eating behaviors.
  • Food noise vs. the effects of simply not adhering to health supporting lifestyle behaviors.
  • Who these medications are most appropriate for - and why they’re not just for anyone looking to drop a few pounds.
  • The critical importance of resistance training and proper nutrition when using GLP-1 medications to mitigate muscle and bone loss.
  • The growing research on GLP-1 medications and their potential benefits beyond weight loss, including brain health and cardiovascular disease.
  • Why seeking guidance from a knowledgeable healthcare provider (not just a quick prescription service) is essential before starting these medications.

Connect with Barbie Boules, The Cognition Dietitian (and Resources Mentioned):

Thanks for tuning in to this week’s episode of Here’s the Deal: Fitness, Nutrition, and Mindset for People Who Don’t Want Life to Suck, where we challenge the common understanding of what it means and what it takes to be fit and healthy! If you enjoyed this episode, don’t forget to subscribe and leave a review wherever you listen to your favorite podcasts.

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