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The Dr. Francavilla Show

Carolynn Francavilla, MD is Board Certified in Family Medicine and a Diplomate of the American Board of Obesity Medicine. She owns and operates Green Mountain Partners for Health and Colorado Weight Care. Dr. Francavilla is a nationally recognized obesity expert, lecturing on the topic obesity as well as through her own platform HelpYourPatientsLoseWeight.com. She serves on the Obesity Medicine Association Board of Trustees. She is an Assistant Professor at Rocky Vista University and Volunteer Faculty at the University of Colorado School of Medicine. She is passionate about helping people lose weight to treat and prevent medical problems. Dr. Francavilla has learned that losing weight and keeping it off is complex and not a matter of will power, but biology, and seeks to help others finds healthy longterm solutions to their weight.

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The Dr. Francavilla Show

What is Food Noise and how Zepbound and Wegovy turn it down

September 01, 2025 • Dr. Francavilla

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Have you ever wondered what it would be like to live without the constant mental chatter about food?

For many, those thoughts never seem to stop. From planning the next meal to feeling guilt after eating, food can take up an overwhelming amount of mental space. It’s exhausting, and for some, it feels impossible to break free.

This ongoing noise, now widely known as food noise, is more than just hunger or cravings—it’s the mental weight of always thinking about food, and it can affect every part of daily life. In this episode, we’re diving deep into the mental weight of food noise, why it happens, and how dieting history often fuels this constant chatter. We also talk about where the term “food noise” came from, how it’s reshaping conversations around weight and eating, and what the latest research is teaching us about the biology behind it.

But we don’t stop there. We also share practical ways of taking action against food noise—from mindset shifts to medical support—and explain why GLP-1 medications are helping so many people finally quiet the noise, giving them the mental space and freedom they’ve been missing.

If you’ve ever felt stuck in that cycle, this episode is for you. Listen to the full episode to get the complete discussion and actionable insights.

Article link: https://www.nature.com/articles/s41387-025-00382-x

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