I had not intended to write another article on GLP-1s right after last week’s post.
However, there’s another element towards the usage of these medications that I haven’t covered to the same degree on this site and I thought I needed to spend some time this week doing so. The week that this article is being released also happens to be when we recognize eating disorder awareness.
Starting back a couple of years ago, I began to observe results on the opposing end of a given “weight” spectrum.
Before I go much further, I need to establish some points:
-If we were to look left to right on this spectrum, the far left side could comprise those below a normal range of BMI. The far right side, would be those above that normal range.
-I understand that BMI is wildly nuanced and does not take into consideration those who carry more muscle mass than others. There are also sociological impacts of that measuring point that span races, genders, cultures and more that I won’t delve far into in this article.
-On both sides of the spectrum is a correlation of greater health risks and it’s the left side of the spectrum that I want to focus the rest of this post on.
-“Health” means something different to everyone. You can be metabolically healthy at any weight and you can be metabolically unhealthy at any weight.
One thing I’ve observed is that some people, who have seen great results on the medications, stay at dosages that take their bodies below the normal range.
Much like we see with individuals who struggle with anorexia nervosa, some of the side effects can include:
-Thinning hair/hair loss
-Dry, brittle skin
-Loss of menstrual cycle (amenorrhea)
-Cold body temperature
-Fatigue
-Dizziness
-Chronic constipation
-Loss of bone mineral density and/or prone to fractures
-Decreased cognitive function
And while the initial positive benefits of fat loss (which vary between individuals)were once there, the body is now at a place where other negative outcomes are now present.
In many cases, the associated doctor or RD, may recognize what’s happening and start lowering the dosage or reducing the frequency of dosage to allow the individual to consume more food and return to a more stable health baseline.
Of course, the other concern, is individuals, many of whom are influencers on social media, who are making unsubstantiated claims of the medications so that you can take advantage of their discount code on compounded (unregulated) versions of the medication.
Many of these same influencers are already in lean bodies using predatory messaging to persuade you to believe that YOU are broken and THEIR version of the medication can help.
Compound this with the very real problem of other influencers not being transparent about their own GLP-1 usage and offering up their “what I eat in a day” posts, “how I train” posts, all while showing you their carved up midsections.
The overarching message being: You’re not working hard enough, and if you were, you could have this body, too.”
My stance is this: If it is within your power and ability, build the strongest, healthiest version of yourself. This may mean a body that weighs more than you think.
Stay current on your bloodwork, as negative outcomes will likely not show up overnight. They may take time to develop and that may make recovery from those side effects more difficult to bounce back from.
Being on a GLP-1 does not guarantee that you will struggle with disordered eating behaviors just like being on a diet does not mean that you will be diagnosed with an eating disorder.
However, we are seeing a rise in people who are taking the medication to its furthest extremes and, in doing so, ultimately risk organ failure.
It wasn’t that long ago that phrases like “Thin is in”, “Nothing tastes as good as skinny feels” and more “pro-ana” statements spread like wildfire. Along with it, came the intense pressure to be thin, no matter what cost, and it took a long time for the general public to push back against that narrative.
While I have been a strong advocate for the usage of GLP-1s for so many people because they hold so much promise and potential, it’s not an open invitation for all.
It’s not just your current health that matters, it’s the future of your health as well, because what good is longevity if you can’t actually enjoy it?
And the enjoyment can be found across myriad of body shapes and sizes.
BMI is not the whole picture.
Body fat percentage is not the whole picture.
What your scale reflects back to you is not the whole picture.
And if it costs you your peace…
(Photo courtesy of Emiliano Vittoriosi)









