Modern Metabolic Health with Dr. Lindsay Ogle, MD

From Diet Culture To Obesity Care: Deb's GLP-1 Journey

Lindsay Ogle, MD

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What if the loudest voice in your head—the one negotiating every bite—suddenly went quiet? That’s the turning point Deb describes as she moves from a lifetime of diets and rebound weight to genuine relief on a GLP-1. We dig into what “food noise” feels like day to day, why puberty-era dieting can seed decades of struggle, and how treating obesity as a chronic disease—not a moral test—opens the door to lasting health and peace of mind.

We walk through the practical side of modern obesity medicine: individualized dosing and titration, how to recognize when hunger signals return, and why the “right dose” is simply the one you tolerate that restores satiety. We also tackle a hot question head-on: should you pause medication for holidays or vacations? Deb’s answer is grounded and liberating. When a therapy supports metabolic health, steady mood, and freedom around food, staying consistent protects both your body and your bandwidth to enjoy the moments that matter.

Beyond the scale, we explore identity, mental space, and the surprising ripple effects when food stops running the show—more curiosity, more creativity, and the confidence to try new things. You’ll hear concrete advice for anyone starting a GLP-1: stop comparing timelines, track non-scale wins, journal your milestones, and lean on a supportive community to counter shame and misinformation. This is an honest, stigma-free guide to GLP-1 therapy, metabolic health, and the mindset shift from white-knuckling to well-being.

If this conversation resonates, follow the show, share it with someone who needs it, and leave a quick review so more listeners can find evidence-based obesity care and real-world support.


Follow Deb's journey on TikTok: @debcooperman

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Welcome And Focus On Metabolic Health

Dr. Lindsay Ogle

Welcome to the Modern Metabolic Health Podcast with your host, Dr. Lindsay Ogle, Board Certified Family Medicine and Obesity Medicine Physician. Here we learn how we can treat and prevent modern metabolic conditions such as diabetes, PCOS, fatty liver disease, metabolic syndrome, sleep apnea, and more. We focus on optimizing lifestyle while utilizing safe and effective medical treatments. Please remember that while I am a physician, I am not your physician. Everything discussed here is provided as general medical knowledge and not direct medical advice. Please talk to your doctor about what is best for you. Well, welcome to the Modern Metabolic Health Podcast. My name is Dr. Lindsay Ogle and I'm a board certified obesity medicine physician. And I am so excited today because I have a real life patient, um, Deb, who we met through TikTok actually. And I was really interested in what she had to, you know, share with the general public about her experience on a GLP1. So I asked her to join me today to share more about her experience and what um GLP1 medications have, you know, enhanced how they've enhanced her life and what her recommendations may be for you know some patients who are considering starting a GLP1. So thank you so much, Deb, for taking the time and being here.

Deb Cooperman

My gosh, thanks for having me. I I love your content on TikTok. I think most of us on TikTok who are users of the medication so appreciate seeing actual doctors talking about this in reality and not scaring people really talking about it as as honestly and openly as as they do and as you do. So I really appreciate it and I'm happy to be talking to you.

Puberty, First Diet, And Food Hiding

Dr. Lindsay Ogle

Yeah, thank you. Well, let's start at the beginning. Um, how long have you struggled with your weight and I guess you know, eating issues in the past, or what brought you to starting a GLP1 medication?

Lifelong Cycling And Hitting A Wall

Deb Cooperman

I think when I was really young, I was a very, very picky eater and I was you know a twig until I was probably, you know, when I hit puberty. Um and when I hit puberty, I I hit before my sister was a year, a little over a year older than I am, and she probably didn't hit puberty until a year and a half after I did. So it was very strange to be just turning 12. I think I was just 12 when I started to get, you know, breasts and um, you know, got hips. And um now, you know, my parents, you know, parents do the best that they can, but I think they saw this and they saw this as they began to be concerned. Um, you know, when a when a kid is changing and growing in puberty, it's you know, all different kinds of um I don't know, lots of changes and and the body changes. And they were concerned though. They seemed to think that this was something that needed to be uh controlled. And they put me on my first diet. And at the time I was a little under five, seven, and I probably weighed 128 pounds. So not anywhere near a place that someone should be concerned. I I realize this now, but at the time when you're living in a in a family system, and the family system says you should be making some changes. Everybody else is like this, and you're seem to be interested in different foods now, and um they put me on a diet. And I often will say that I didn't really start to get fat until I went on a diet. And that's when it began. That's when it began. It was um sitting at the table while other people were eating something and I was eating a modified version of that. And you know, the table was eating normal stuff, and I was eating the um, and that's when I started to hide food. I would um hide things. I was in, you know, in my high school class, I we did a fundraiser, and I remember we did a fundraiser selling candy bars, and who bought the most candy bars? I did. You know, I did really well. Yay, the fundraiser did really well. I would hide and just eat these, and and I don't even really love candy bars necessarily, but I did. And that's when it started. It was the up and down and up and down, and I would um that's when I started to actually gain started to feel uncomfortable, and so I would do what I thought I should do, which was restrict, and then I would restrict, and then I could only restrict for so long. And so that started the whole cycle, and it went on, I I would say, most of my life. Uh, but every time I'd lose, I couldn't lose enough to get myself to what a doctor would say, you know, we'd be happy if you were around here. Um, and then I went out when I would gain, I would gain way more than I did the last time. So it was that a very typical story. I think you've probably heard it a million times. I'd lose a little and then I'd gain more. And it was just always going up. And about, I want to say about a year and a half ago, I thought to myself, you just have to accept that you are going to be an overweight person for the rest of your life. This is, you have to accept this. Um, I was heartbroken, but I just didn't see, I fought it for so long. I did everything I could think of. And yes, I would have success. I would. I would get to a somewhat normal weight. And my doctor would say, Oh, I'm so happy. This is great. And then the next time I'd come back, she'd say, What happened? And I'd say, I don't know. And that was it. And about a year and a half ago, I thought that's that's it, accept it. And I was heartbroken, but I was know that I'm like, You're a fat girl, that's it. And yeah.

Dr. Lindsay Ogle

Well, thank you for you know being so vulnerable and sharing, you know, that your experience. And I can't even imagine um yeah, at the age of 12, when you said you were five, seven and 120-something pounds, which is definitely not overweight, but um I mean your body was going through puberty and having natural and healthy changes. And so, I mean, you were starting to look different than you did before, but that doesn't mean that you weren't healthy. Uh, but with that change, um, I guess you know, triggered um, you know, your family, you know, thinking that they were doing something to help you and putting you on a diet. And it sounds like the doctors that you were seeing too also encouraged that. Um, and then that really you know set you down this path of chronic dieting and you know the weight fluctuations, which can be both emotionally um challenging and triggering, and you know, it can lead to you know mental health um conditions and struggles, um, but also it can affect you metabolically and then make it you know even more difficult to maintain um your weight long term. Um, and like you said, that you are definitely not alone um in going down that path that is extremely common um and and a difficult thing to manage. Um, it sounds like for for decades then.

Deb Cooperman

Oh yeah. Decades, decades, yeah. Um, because excuse me, my necessary. Um yeah, I just uh I just hit my Medicare birthday. And so if I was get becoming I was about 12, it's been you know 50 some years.

Dr. Lindsay Ogle

Wow.

Deb Cooperman

Yeah. Long time.

Dr. Lindsay Ogle

Yeah, yeah, like whole whole lifetime almost. Um what has been the difference between all of those diets that you've been put on or that you put yourself on in the past over the the 50 years compared to your experience being on a GLP1?

Deb Cooperman

It's night and day. It's like I I've used the analogy of Dorothy walking out of Sepia, uh, Kansas into Technicolor Oz because um I it is a different world to me. Um, this medication, I was a relatively quick responder, not in terms of weight loss, but in terms of having a different experience in my body once the medication started. I'm on Zetbound and I'm on two, I started on 2.5, and with 2.5, I know it's a loading dose. I was feeling it within days. Um I remember when when I first started hearing about these medications, I didn't think I was sick enough. I thought this was for very sick people, their you know, diabetes, and um, I was always a person who kind of carried my, I seemed like I was a big girl. Um and my doctors never said, you know, this is dangerous, this is dangerous. And so I didn't think I was sick enough for the medication. And and then I started to hear things that made me think, well, maybe I don't need to be that sick, maybe I could. And so when I when I did start to use it, or when I did start to hear about it, I remember the first time I had no idea what I heard, you know, in in one of these articles that I read, something about food noise. And I knew exactly what they were talking about. I had never considered that what was going on in my life, of the constant thinking about food, of the feeling that I mean, I used to say I felt like I was a bottomless pit. I could I could out-eat anyone. I really felt like I could out-eat anyone. I never felt full. And I would go to meals with friends, and I would see I'm a slow eater, and I would see people saying, Oh, I'm stuffed, and they'd push their plates away. And I'd think, well, I guess I have to stop now. Because and so I being a slow eater, one, and two, being uh, you know, always feeling like there was always more, I was never full. So I'd go out to eat, I'd be thinking about where I was gonna stop on my way home because I obviously hadn't eaten enough. Um and there was no such thing as enough. When I went on the medication when I went on the medication, the food noise just like immediately, like within days, I realized I could go to the grocery store and I wasn't negotiating with myself about which aisle I could or couldn't go down or what I could or couldn't. I was just getting what was on the list and I wasn't planning my outings for stops along the way. Um and I was having satiety. I would stop eating, and I think, yeah, I'm good. Like, who who am I? I did not know who this was. And yeah, it's been night and day. I I mean I could talk about it for hours. There's so many examples, but that probably gives you an idea of what it what it's been.

Individual Dosing And Titration Philosophy

Dr. Lindsay Ogle

Yeah, I I appreciate that. And I also have several patients who respond very well, like you did at that quote unquote like starting dose or loading dose, um, at you know, for Zbound the 2.5 or Recobi 0.25. And sometimes people never need to go to higher doses. It really is individualized, and I always emphasize that uh if you're seeing somebody who is making you follow like a titration schedule, regardless of how you're responding, that's not the right person you should be seeing because everyone responds differently to every treatment that we offer, you know, in medicine. And so you should be on the dose that's working for you and that you tolerate. And for some people, that's that starting dose, and that can be their maintenance and treatment dose. And and so I I do see that. And then I have some people who don't experience what you're describing until they get to higher doses, and that can also be really discouraging because um yeah, and you can feel like it maybe this won't work for me. Um, and it it doesn't until we find that that dose um that that does work for that person. So it's all individual.

Deb Cooperman

Um I also did oh, I'm sorry. It it did eventually after I think after about three months, I started having food noise come back a little bit and I felt a little bit. So I did, I did go up and I'm now uh I'm almost eight months in and I'm on 10. So I have had to go up. And every time what's fascinating to me is every time I get to the point where I have to go up and food noise comes back in, or I get a little bit more, like I feel a little bit more hungry, or I'm thinking about food a little bit more, I'm not as satisfied. I turn it back in on me, like you're not working hard enough. You have to why are you doing this? Why are you doing this? And then eventually I'm reminded, oh, wait a minute, this is the disease, and the medication is has hit its wall, and it's time to go up because the natural tendency is to think I'm doing it wrong, and you know, I have to work harder because that's what it always was. It was always you gotta work harder, you gotta knuckle it. It's like, oh, wait a minute, that's what the medication is for. The medication does what the medication does, and it's time to go up. So it's been that's been a great learning thing too, just to notice how I respond when it starts to even if after a week I start to get a little bit, you know, I'm getting close to the the shock day. I I find myself a little bit, you know, thinking about it a little more, a little munchier or whatever. Oh, okay, it's almost shock day. You're not a bad person, you know.

When Hunger Creeps Back And Dose Changes

Dr. Lindsay Ogle

Right. I'm glad that you brought that up because that's the difference between diet mentality, which is all about, you know, like you said, white knuckling it and the amount of effort that you're putting in and restriction and just the, you know, the number on the scale or the calories that you consume that day versus treating a chronic medical condition like obesity is. And, you know, if you're having symptoms or that are not controlled or, you know, things are progressing, or taking a step back, then presenting to your doctor or whoever is helping you, you know, on this path, a dietitian, and letting them know what you're experiencing, and then they can adjust the plan for you. Um, because those are two totally different approaches and will get you in a completely different place ultimately. Because if we're treating it like our other chronic conditions and we're keeping health um at the focus, then you know it it takes it does still take time to get there, but you you will get there. Um, and for all of my patients and um, you know, sometimes myself in general, it's hard to like diet culture is so pervasive, so it comes back in, and we do have to like reprogram our brain to get away from it and um and and keep that, I guess, like chronic disease mindset at hand.

Deb Cooperman

Yeah, it's so easy to flip back into that. I spent most of my life in that. And even though I'm, you know, I I eat a lot of really great food, but I still eat a lot of stuff that I would, you know, a friend of mine said to me once we went out to eat, and she said, Can you eat that? You know, I was having a like a vegetarian ruben. I so you know, uh basically it's cheese and sauerkraut and want grilled rye. And I and she said, Can you eat that? And I said, I can eat anything I want. I just want a lot of things less, and I want a lot less of a lot of things. So it's just this thing is magic. And I can I'm not dieting myself into this healthier life. And if it takes me a really, really long time, that's fine. As long as this thing is not, you know, constantly telling me to and I'm not like this, I don't care. I feel free. I feel freedom.

Shifting From Diet Mentality To Disease Care

Dr. Lindsay Ogle

Yeah, and that's what I was gonna mention earlier because you stated that you felt like you were not sick enough. Um, but yet the what you were describing was like was suffering. It sounded like you were suffering in your in your mind and you know, constantly fighting that food noise and you know, that chronic dieting. And um these medications can help manage that and can can treat that, you know, the the brain side of things and can provide that freedom. And I've heard many, many people say, like, even if I never lost any weight on the medication, it's worth taking it because of the freedom and relief that you get. Um and I always like to talk about like when you aren't having to constantly think about dieting and restriction, then your brain is free to think about other things and you can enjoy your life so much more. So I'd love to hear what your thoughts are about that.

Freedom, Identity, And Mental Bandwidth

Deb Cooperman

I uh absolutely, oh my gosh, it's um I feel like the majority of my attention in my life, even if I was doing something else, even if I was at work doing a job, even if I was with my family, having conversations, it was always there. And so, you know, you said I didn't how I was saying I didn't think I was sick enough. That was because the world told me that I wasn't sick, I was weak. People told me I couldn't, you know, you just didn't have the tenacity, you didn't have the willpower, you didn't have the strength. And I would do, I mean, it's something that I've learned since from all of my the community members on TikTok. There's so many of us who were accomplished in so many ways in our lives. And yet we thought we were failures because of this one thing. This one thing negated all the other accomplishments, or at least diminished the other accomplishments. And they diminished mine, but they also diminished my capacity to be successful. I I didn't there were certain things I didn't even throw my hat in the ring for because I was so ashamed of how I looked or how, yeah, mostly how I looked. Um I wouldn't throw my hat in. I wouldn't try for things. And now I'm amazed at the capacity I have to try new things that I'm not even giving a lot of thought to. I'm not saying, you know, I think I want to do a thing. And this is how I I started, I now have a Sunday live that I do where I interview members of the community. And it started just because I was curious. I was curious about members of the community. I wanted to find out more about them. And so I started inviting people on a live in as individuals instead of big group lives and things like that. And and now it seems to be a bit of a thing. It's not a huge thing, it's a thing. But it's and and it's not because I planned it or I said I want to do this because I want to grow my reach or I want to work. I was like, I want to know people. And now I have a, and that's the capacity I mean. It's just the capacity to follow my curiosity and to nurture that curiosity and to be open to what unfolds because of it. I didn't have that before. I didn't have the space. I was too busy thinking about you shouldn't have this, don't have that. Well, maybe you should plan this. Don't don't even try that. Nobody would want you because of how you look. It's like oh heartbreaking. Yeah. Heartbreaking. What a waste. What a waste of spirit and energy and all that.

Dr. Lindsay Ogle

Yeah. Yeah. Heartbreaking and exhausting. Um, absolutely. Absolutely. Um, and I know so we're both on TikTok, like we talked about earlier, and that's how we connected. I started uh social media like for from a from a professional standpoint to educate more people because there's so much misinformation out there. And I read an article one time where like it's like doctors, we can't we can't complain about the misinformation if we're not going to put ourselves out there and then try to you know combat it with accurate information. So I viewed that as a call to action and got, you know, put myself out there. It's been scary, but but it's been fun. And I've met so many people like yourself and like you're describing that you've connected with so many people in the community. Um, I've also learned a lot from you know people sharing their experiences that sometimes either my patients don't tell me directly because they're nervous or ashamed, or you know, maybe it's a different patient population. I'm not quite sure. But one of the things that um I learned because you were mentioning it, that somebody, you know, people were mentioning to you that they were taking or considering taking a break from their GLP1 medication during the holidays. Um, right now the holidays are are past us, but I still think it's relevant for anybody who maybe is planning a vacation or has, you know, an event coming up that previously would be a time when they would, you know, maybe overeat or use food to like that was the highlight maybe of that event or that vacation. Um, and they're maybe nervous about not having that option or maybe getting sick if they do overeat. Um I'm curious, I know you gave some um recommendations in that video that I um commented on, but I'd love to hear, you know, you now kind of re-explain your thoughts about that or what's been your personal experience um with, you know, in that situation.

Social Media, Community, And Misinformation

Deb Cooperman

Uh I I saw a lot of people posting about this as well. Um, but what what I felt when I first heard somebody say, you know, I'm gonna take a break, and I thought, break? Why would we take a break from this thing that has changed the way we think about food? I mean, I would be at a meal, a family, like this was happening around Thanksgiving, I think is when it happened. And I would be at Thanksgiving and I would just constantly be thinking about um, I want more of the potatoes, but I only want the potatoes with gravy. And if I did people see me put that some on my plate, or should I put it? Can I put some more on my plate? Or what do I do? And can I have some of that? And I'd be watching other people and I'd be like, they don't have as much on their plate. And I my mind would constantly be surveying the room, or oh, I'm the biggest in the room, or what all that stuff. Why would I want to put myself in a position where the freedom that I have now, I can have everything I want. I can have every single thing. If I go on a vacation, um, I can have what I want. I can go. I mean, I I haven't don't go on a cruise, but I know somebody who went on a cruise and they said they weren't gonna take and you know, why would you just you couldn't have everything a little bit of everything on the cruise? Doesn't matter, have a little bit of everything. But this is the other thing is is okay, there's there's the why would you not want to be free? The freedom to have whatever you want, but not eat as much. Okay, that's one. The other to me is this is medication. This isn't a tool to help you diet. This isn't a tool to uh continue on with the whole diet culture thing of like eat less, move more, which of course we do in a way with these things. We do eat less and you know moving is good, and so we start to have capacity for that. But this is a medication. Why would you st you wouldn't stop taking your beta blocker to what enjoy something? You wouldn't stop taking your inhaler with you because it will be more fun to not have your inhaler when you want it. You know, it's this is medication. What are we we've somehow and it's it doesn't surprise me that we collapse it with diet culture because we are most of us who are on this medication are losing weight, and so we think of it as like, oh yay, it's you know, and people talk about oh, I've lost this much, or isn't this great? I'm you know, hitting my goal, but that's not all that it's about. We want to get healthier, we want to be well, and this medication helps us be well. I I don't understand why you wouldn't take medication to help you be well and to continue to have that freedom. That that was just my take.

Holidays, Vacations, And Staying On Medication

Dr. Lindsay Ogle

Yeah, yeah. I love that. And like we talked about before, it's the it's really highlighting the difference between that that diet culture and then treating a chronic condition. And I myself have definitely uh used the term like like geophone medications are a tool. And I've had some pushback from people before about that, and I I do I'm starting to see that more actually, especially now when you're describing that, that it's probably not the best terminology to use because it is so much more than that. Because I think when we do describe it as a tool that does still support that diet mentality, that it is all about restriction and moving more. Um, so and I really like analogies. I'm gonna have to think about another one, or we just you know, call it what it is in um chronic medication.

Deb Cooperman

Um I think it is, but it also is kind of a tool. It's a tool to help you like get, I mean, it it's I don't know, maybe it's not, maybe it isn't. I use the term tool too sometimes, but maybe not so much because it's not a tool for dieting, it's a tool for helping to stabilize your chronic condition. That that's what the tool is for, not for the diet. Yeah. So yeah, I don't know. We gotta play around with that one, maybe.

Dr. Lindsay Ogle

Yes. Let me know if you think of anything. Um for sure, for sure. Um, or a tool to like in just yeah, enhance your life, expand your life, like we were talking about before, and and um, you know, taking out the focus of food and focusing on you know the enjoyment of being with loved ones or you know, exploring and traveling and just like really being present, um, like you were describing before. Yeah. Um I'm curious if anybody is considering a GLP one or maybe they you know get coverage this year and they're gonna be able to start the medication finally. What would be a piece of advice that you have for them or something that you wish you knew when you, you know, before you started?

Advice For Starters: Don’t Compare, Journal

Deb Cooperman

Well, a few things that I think um I wish I knew. One is that you shouldn't compare your experience with other people's experience because everybody is different and everybody is going to react differently to this medication. And so as long as you do what your provider, your doctor says um, and you're taking the medication and you're, you know, everybody will say, drink a lot of water, you know, focus on protein and fiber and those sorts of things, absolutely those things. But when you compare your experience with somebody else and you compare based on the number on the floor on the scale, that is just to me, that's that's uh something to like really practice um moving away from that um and really thinking about your own experience on a on a day-to-day basis of what is different for me. I'm a big journaler. I encourage people to journal. I think noticing what the what the milestones are in the experience, like, oh, I didn't have food noise today, yay, that is great. But it doesn't have to be about comparison. And the other thing that I would say is um, you know, the body may move faster than your head can catch up. Um, as a matter of fact, when I was getting dressed this morning, I'm wearing like a little um a little shell underneath this shirt. And I put that on and I was, you know, tucking this thing in, this shirt, over shirt on, and I looked and I went, who is that? Like I didn't recognize my body. My body has changed, but I still feel like the person of 20, 30, whatever pounds ago. It's gonna take a while for the head to catch up. And I think sharing your experience, being being among other people who have a similar experience, the TikTok community is great. I'm sure there are other places for it. I was never on TikTok before this. I found TikTok because there were people who were talking about this, and I was looking for people who were talking about it. And I went, oh geez, I gotta get on TikTok. Now here I am, you know. But I think finding a community of people that are talking about it, that you can hear and recognize that you're not the only person going through this, and the only person who's body is going faster than maybe your brain can catch up is a is a helpful thing. And again, I say journal it out because I think that's wonderful.

Dr. Lindsay Ogle

Great. I think that's an excellent piece of advice that doesn't get talked about as much as not comparing. Um, because I see that really getting in the way of a lot of people enjoying the success that they are having that I can see that they're obviously doing so well, but they often automatically think that they're not doing well because somebody else um, I guess at least looks like they're having success at a faster rate.

Deb Cooperman

Um people, some people, you know, start to lose really, really fast. And other people don't have any, you know, um, loss or they still have food noise in the beginning. It takes a while with some people. And some people have to change medications, you know, they start on SEMA, they didn't SEMA doesn't work, they try, you know, it's it's all um, you know, the the one thing I remember hearing is is you didn't fail. Sometimes the medication isn't the right one. And so to be open, you know, talk to your providers, talk to your provider, talk to your team.

Wrap‑Up, Gratitude, And Listener CTA

Dr. Lindsay Ogle

You know, yep, yep. Going back to that individualized approach, um, because everybody is is different and unique. Yeah. Great. Well, thank you so much, Deb, for taking the time and also for being so vulnerable and sharing your experience. Um, I'm sure people are going to want to find you on TikTok. So I have your handle um in the notes below so everyone can get out and follow you and join you on your Sunday lives.

Deb Cooperman

Yeah, yeah, absolutely. I love to talk to people. I love to meet them. So have them come on. Yeah, absolutely. And I just want to thank you because I think that what you're doing is so huge and having actual doctors, obesity medicine specialists who are sharing the reality is just so helpful. We're so happy to have you um out there talking. I know that I'm not the only one who follows you and just loves seeing you come out with your content. It's it's really helpful and we so appreciate it. I should just say I appreciate it, but I know a lot of us appreciate it.

Dr. Lindsay Ogle

Oh well, thank you so much. I really appreciate it. Thank you for listening and learning how you can improve your metabolic health in this modern world. If you found this information helpful, please share with a friend, family member, or colleague. We need to do all we can to combat the dangerous misinformation that is out there. Please subscribe and write a review. This will help others find the podcast so they may also improve their metabolic health. I look forward to our conversation next week.