Are you considering GLP-1 medications like Semaglutide, Tirzepatide, or Zepbound for weight loss, or do you know someone who is? This conversation provides a nuanced conversation about GLP-1s and considerations around starting them.

In this episode, host Nikki Naab-Levy chats with Kate Lyman, a nutrition coach with a Master's in public health about the unspoken potential ramifications of using these drugs, from a mental health and behavior change perspective.

In this episode, you'll learn:

• The difference between the clinical and social media definitions of "food noise".

• Why weight loss on a GLP-1 does not automatically equate to better body image or health.

• The potential for GLP-1s to replace "food noise" with new fixations or obsessions in (e.g., scale-watching, body composition) in some individuals.

• The mixed mental health outcomes of GLP-1s, including studies linking them to an elevated risk of anxiety, major depression, and suicidal behavior in some populations, while others (like those with binge eating disorder) may see positive benefits.

• Recommended lifestyle support and interventions that can be used alongside medication to ensure fat loss while protecting and maintaining muscle mass and bone density.

• The importance of having coping tools outside of food when a previous coping mechanism is removed.

• The cultural and identity shifts that often come with rapid body weight loss and being treated differently by the outside world.

• Why these medications are currently intended for long-term use and aren't necessarily an appropriate intervention for all individuals.

Timestamps

• 00:00 | Intro: Cultural Context, Mental Health, and Nuance about Who Should or Shouldn't Take GLP-1s.

• 00:40 | Introducing Kate Lyman: Behavioral Health Expert & Nutrition Coach

• 03:00 | The Need for Education and Behavioral Support with GLP-1s

• 05:23 | Weight Loss Doesn't Automatically Equal Health: Coping Tools Outside of Food

• 06:44 | Defining Food Noise Beyond Pop Culture and Social Media

• 09:41 | The Potential for Obsession Shifts: Food Noise Replaced by Scale Focus

• 14:56 | Mental Health & GLP-1s: What the Literature Says About Anxiety & Depression

• 24:10 | Essential Lifestyle Pillars: Protein, Strength Training, and Water Intake

• 28:06 | The Long-Term Reality of Taking a GLP-1 to Maintain Weight Loss

• 40:04 | The Role of Stigma & Weight Bias in Influencing GLP-1 Usage

Connect with Kate

• Name: Kate Lyman

• Instagram: @klnutrition

• Website: https://www.katelymannutrition.com/

• Podcast: How to Fitness Podcast

Research Studies & Papers Referenced

• What Is Food Noise? A Conceptual Model of Food Cue Reactivity [PMID: 38004203]

• Association of GLP-1 Receptor Agonists With Risk of Suicidal Ideation and Behaviour: A Systematic Review and Meta-Analysis [PMID: 39945396]

• Use of glucagon-like peptide-1 receptor agonists in eating disorder populations [PMID: 38135891]

Connect with Nikki

• Instagram: @naablevyfitness

• Website: http://naablevy.com

Free Nutrition & Fitness Resources

• Take the 1 minute quiz to get your free personalized strength workouts

• Get your free macros and calories calculator + guide

Are you feeling stuck in a cycle of yo-yo dieting? Have you ever wondered if the shame-based tactics of popular weight loss shows are truly effective?

In this episode, host Nikki Naab-Levy welcomes her colleagues Colette, Brooks, Greg, and Vanessa to deconstruct the myths and misinformation around fitness, nutrition, mindset, and weight loss. In this episode of Results Not Typical, they unpack the Netflix documentary Fit for TV, which examines the reality show The Biggest Loser.

In this episode, you will learn about:

• The difference between intrinsic and extrinsic motivation and how it relates to the long term success of the contestants on The Biggest Loser for maintaining weight loss.

• The negative, long-term effects of using shame as a motivational tool.

• The importance of developing real-life skills for sustainable health.

• Why "The Biggest Loser" failed to provide genuine long-term solutions for its contestants.

This episode is about:

• Examining how shows like
  The Biggest Loser reinforce false beliefs about health and weight loss
  
  

• Understanding the role of shame and extrinsic motivation in short-term weight loss and long-term failure
  
  

• Critiquing the lack of professional mental health support and the defiance of medical advice on the show
  
  

• Highlighting the importance of building sustainable skills rather than just "knuckling down" on restrictive behaviors
  
  

YouTube Timestamps

00:00 | The Problem with The Biggest Loser

00:41 | Introducing the Host and Podcast

01:48 | Guest Introductions

04:26 | The Role of Shame as a "Motivational" Tool

05:42 | Extrinsic vs. Intrinsic Motivation

10:25 | The Scale is the Main Character

14:37 | Skills vs. Doubling Down on Behaviors

17:22 | The Absurdity of Temptation Challenges

22:41 | Trainers Openly Defying Doctors

27:10 | Reinforcing Low-Calorie Crash Diets

Guests Information

Vanessa Zingaro & Greg Sutton

• Instagram: @evolvetoexcel

• Website: https://evolvetoexcel.com/

Brooks Hurbis

• Instagram: @sweat.simple

• Website: https://www.sweatsimpleco.com/

Colette Morris

• Instagram: @cmorrfitness

• Website: https://www.cmorrfitness.com/

Connect with Nikki / Links mentioned

• Instagram: @naablevyfitness

• Website: http://naablevy.com

• Take the 1 minute quiz to get your free personalized strength workouts

• Get your free macros and calories calculator + guide

Are you considering a hysterectomy, or struggling with your body image and fitness journey after surgery? In this episode of the Nikki Naab-Levy podcast, Results Not Typical, Nikki talks with physical therapist Dr. Jocelyn Wallace about a subject that is often underserved: pelvic health.

You will learn about:

• Signs, symptoms, and the best treatment options for endometriosis

• Why a hysterectomy affects more than just one organ.

• The emotional and psychological challenges that can come with the surgery.

• The common advice patients receive and why it isn't enough.

• The importance of self-advocating with your surgeon, especially if you have symptomatic hypermobility.

• How to reconnect with your body and find a new fitness routine after a hysterectomy.
  
  

Here are some key timestamps for this episode:

• 00:01:11 | Introduction to Dr. Jocelyn Wallace

• 00:01:46 | The problem with common post-hysterectomy recovery advice

• 00:03:07 | The impact of a hysterectomy on the entire system

• 00:04:46 | Navigating post-surgery fear and anxiety

• 00:08:44 | Empowering people through physical therapy

• 00:10:48 | The physical therapy process post-hysterectomy

• 00:17:34 | Hysterectomy as a new chapter in fitness

• 00:30:17 | The importance of patient self-advocacy, especially for individuals with symptomatic hypermobility and ehlers danlos syndrome.

Connect with Dr. Jocelyn.

• Name: Dr. Jocelyn Wallace, PT, DPT

• Instagram: @drjocelynwallace

• Website: https://drjocelynwallace.com/

Connect with Nikki / Links mentioned

• Instagram: @naablevyfitness

• Website: http://naablevy.com

• Take the 1 minute quiz to get your free personalized strength workouts

• Get your free macros and calories calculator + guide