Blood Sugar Unfiltered

Hungry And Full At The Same Time: The First 90 Days On A GLP-1

Russ Powell Season 1

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Almost half of adults on a GLP-1 for type 2 diabetes and roughly two-thirds on it for weight stop the medication inside the first year. Most of them aren't quitting because the drug isn't working. They're quitting because nobody handed them a playbook for the first 90 days.

In this episode, Russender Powell, MS, RD, LD, BC-ADM, CDCES decodes what GLP-1 patients have been describing for years and almost no one is naming out loud: the "hungry and full at the same time" feeling, the texture aversion, the chewing fatigue, the mental swirl about water and fiber and protein, and the under-drinking that creeps up on you. Then she walks you through three real-food moves you can pull off tonight built around one reframe: eating less on a GLP-1 isn't a restriction. It's making room.

In this episode you'll learn

  • Why you can be hungry and full at the same time on a GLP-1 — and what to do with both signals
  • The texture and chewing fatigue piece nobody is naming in mainstream GLP-1 content
  • Why "I know I should eat but I just don't" is the danger zone of the first 90 days
  • The evidence-based hydration target — and why "half your body weight in ounces" doesn't hold up clinically
  • The shrink-the-plate-by-⅓ reframe that frees up real estate for protein, veggies, and starch
  • Three USDA-anchored real-food moves: the shrink-the-plate plate, the 5-minute no-chew plate, and the sip-and-snack hydration habit

Resources mentioned




About your host

Russender Powell is a registered dietitian (RD, LD), board-certified in advanced diabetes management (BC-ADM), and a Certified Diabetes Care and Education Specialist (CDCES) with 15+ years of clinical experience. Through her private practice and her signature Better Together Blood Sugar and GLP-1 Blueprint program, she helps adults with type 2 diabetes, prediabetes, and on GLP-1/GIP therapies build real-food habits that stick without the swirl.


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Developed by Russender Powell, MS, RD, LD, BC-ADM, CDCES. This podcast is for educational purposes only and is not medical advice. Dose changes require prescriber approval. Insurance coverage varies by plan; benefits are verified prior to the start of care.