Real Over Ideal
Function, not perfection.
Hosted by occupational therapist and executive coach Vanessa Gorelkin, Real over Ideal cuts through the noise to bring you practical strategies for life in a stressful world.
Real Over Ideal
GLP-1's- A Weight Loss Meds Episode
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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 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:
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If 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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