
Hosted by Stephanie Dodier · EN

The science on GLP-1 drugs is not what the marketing says it is.Ragen Chastain has been studying weight science, weight stigma, and healthcare practice for over 20 years. In this episode, she gives us the clearest breakdown yet of what the research actually supports — as of May 2026 — and how to tell the difference between evidence and pharmaceutical strategy.This is part of the Beyond GLP-1 expert interview series on It's Beyond The Food.What you'll learn in this episode:Why GLP-1 drugs are solid for type 2 diabetes but how the weight loss dose is a fundamentally different useWhat the weight regain data actually shows — including what happens while people are still on the drugHow secondary use claims get built and why the cardiovascular trial results apply to far fewer people than the approval suggestsWhat the death data shows — and why Novo Nordisk was cited for under-reporting serious adverse eventsSpecific questions to ask your provider before starting a GLP-1 medication — and how to ask for weight-inclusive careMentioned in the show:Beyond GLP-1 Expert Podcast Series: https://program.stephaniedodier.com/beyond-glp-1Ragen Chastain's Weight and Healthcare Substack: https://weightandhealthcare.substack.com/Dances With Fat: https://danceswithfat.org/Ragen's speaking website — Sized for Success: https://www.sizedforsuccess.com/Dr. Rachel Fox's anti-obesity assemblage dissertation: https://www.rachelefox.com/research.htmlGLP-1 Informed Consent (Medical Students for Size Inclusivity, 2023): https://sizeinclusivemedicine.org/wp-content/uploads/2023/11/MSSI-GLP1-Informed-Consent-1-1.pdfLouise Adams on GLP-1 — listen to the earlier episode in the Beyond GLP-1 series: https://podcasts.apple.com/ph/podcast/468-beyond-glp-1-a-triumph-of-marketing-over/id1172102796?i=1000766587046

GLP-1s did not just change medicine. They changed a movement.Virgie Tovar is a weight stigma expert, activist, and journalist who has been watching this unfold from a perspective most voices in this conversation don't have. In this episode, she traces exactly what happened to body positivity and fat activism when Ozempic entered the room, and she does not soften the analysis.In this episode:The real difference between body positivity and fat activism, and why that distinction has never mattered moreHow body autonomy became a political shield for choices that carry collective consequencesWhat "lab coat washing" means, and how GLP-1 marketing uses it to disguise a financial machine as a health interventionWhy GLP-1s work through starvation states, and what that does to desire, mood, and the capacity to resistThe intergenerational fallout Stephanie is already seeing coming in the next wave of clientsMentioned in the show:Beyond GLP-1 Expert Podcast Series: https://program.stephaniedodier.com/beyond-glp-1Virgie Tovar's Substack: http://virgietovar.substack.comVirgie Tovar's Instagram: http://www.instagram.com/virgietovarVirgie Tovar's GLP-1 Truth Serum Podcast: https://open.spotify.com/show/1t00VeiyyzD7ITDxjDzGnCCoach Corner Vault: https://www.stephaniedodier.com/coach-corner/Non-Diet Client Assessment Tool: https://www.stephaniedodier.com/clientassessmentNon-Diet Coaching Certification Waitlist: https://www.stephaniedodier.com/non-diet-coaching-certification/Groundwork Waitlist: https://www.stephaniedodier.com/groundwork

The reason the non-diet approach didn't work isn't the approach. It's that the work stayed too surface level.Most weight-neutral health coaching teaches behaviors. It doesn't touch identity. And without identity work — without building the version of yourself you are becoming — the old patterns always come back. This episode is about the piece that's been missing.What you'll learn:What future self work actually is and why it's grounded in behavioral science, not manifestingThe two phases of future self work — unintentional model first, future self construction secondWhy the future self feels like a stranger and what neuroscience says about whyThe specific socialization patterns that make this work harder for womenThe daily question to use in micro-decisions to start aligning with who you are becomingMentioned in the show:The Groundwork: https://program.stephaniedodier.com/groundworkThe Stranger Effect study: https://pmc.ncbi.nlm.nih.gov/articles/PMC2656877Connecting to our future self & behavior change study: https://www.sciencedirect.com/science/article/pii/S2666518223000323Beyond GLP-1 expert interview series: https://program.stephaniedodier.com/beyond-glp-1Free Non-Diet Coaching Assessment: stephaniedodier.com/clientassessment

Your clients are going to bring GLP-1 into the room whether you are ready or not. The only question is whether you have a clinical framework for it. In this episode, I sit down with Sam Previt — registered dietitian, certified intuitive eating counselor, and founder of Find Food Freedom, the largest intuitive eating dietitian practice in the US — for the conversation our field has been avoiding. We go through what this intersection actually looks like clinically: how GLP-1 affects hunger, fullness, satisfaction, food noise, and body image — and what weight-neutral coaching looks like inside all of it. Sam's team is already seeing the first wave of clients coming off these medications. The work you do with clients now determines what happens when they do. What you will learn:Why turning away a client on GLP-1 who wants intuitive eating support may be unethicalHow GLP-1 disrupts interoception and what that means for eating cue coachingWhy food noise on GLP-1 is a muted symptom — not a solved problemWhat body image work looks like with a client still pursuing intentional weight lossThe beach ball effect: what happens when clients come off without having done the belief workHow to prepare clients for life after GLP-1 before they ever make that transitionMentioned in the show:Sam Previte: Find Food Freedom:https://find-foodfreedom.com/about/Episode on Sam's podcast that sparked this conversation (February 2025): https://podcasts.apple.com/us/podcast/can-you-take-a-glp-1-on-an-intuitive-eating-journey/id1561021438?i=1000751327153Coach Corner Vault: https://www.stephaniedodier.com/coach-corner/Non-Diet Client Assessment Tool: https://www.stephaniedodier.com/clientassessmentNon-Diet Coaching Certification Waitlist: https://www.stephaniedodier.com/non-diet-coaching-certification/Groundwork Waitlist: https://www.stephaniedodier.com/groundwork

What if your client wants to lose weight—but you don’t coach weight loss?In this episode, I’m giving you the exact tools and mindset shifts to navigate that moment with confidence and compassion.You’ll learn how to coach through the desire to lose weight—without gaslighting your client or abandoning your non-diet values.We’ll explore where this desire comes from and how to respond in a way that builds trust and drives real behavior change.You’ll learn:Why the desire to lose weight is a thought—not a factHow to uncover what’s really behind your client’s weight loss goalsThe truth about “putting weight loss on the back burner”What to say when a client says, “But I need to lose weight”Why intrinsic motivators create lasting health changesThe one question that changed my life—and how it can shift your client’s journey tooA free script you can use in your next client sessionMentioned in the show:1. In a study of midlife women, those exercising for weight loss walked 2.5x less than those motivated by stress relief or energy (Segar et al., 2006). https://pubmed.ncbi.nlm.nih.gov/21884579/2 People who exercised for well-being reasons (e.g., better mood) stuck with it 1 year later.Those who exercised for appearance or weight loss reasons did not maintain the habit. https://pubmed.ncbi.nlm.nih.gov/30314419/The Groundwork: https://program.stephaniedodier.com/groundworkNon-Diet Coaching Certification Waitlist: https://www.stephaniedodier.com/non-diet-coaching-certification/Free Guide - What to Say When Clients Want to Lose Weight: https://www.stephaniedodier.com/guideWeight-Neutral Coaching Training: https://www.stephaniedodier.com/shop/Work With Me: https://www.stephaniedodier.com/work-with-stephanie/

The drugs have been sold as a miracle. The science has been quietly shaped by the companies profiting from them. And the deaths are not yet being called a scandal.Clinical psychologist Louise Adams co-authored a paper that has already been read more than 7,500 times in its first ten days. She joins me to trace the three-pronged pharmaceutical marketing strategy behind GLP-1 drugs, follow the money through conflict-of-interest research, celebrity spokespeople, and government lobbying, and tell us what real informed consent would actually require.In this episode you will learn:The 2015 Novo Nordisk marketing roadmap that predicted everything we are living through nowWhy many obesity researchers are now functioning as pharmaceutical sales representativesWhat weight cycling is and why it is missing from the GLP-1 conversationWhat a health professional's informed consent process should look likeWhy Louise is cautiously optimistic that GLP-1 research will inadvertently strengthen the case for weight inclusive medicine in the next decadEMentioned in the show: Listen to the entire Beyond GLP-1 podcast series: https://program.stephaniedodier.com/beyond-glp-1Louise Adams' paper: GLP-1 medication for weight loss, a triumph of marketing over patient care -- https://www.tandfonline.com/doi/full/10.1080/21604851.2026.2646492Louise Adams -- meet Louise and her work: https://untrapped.com.au/meet-louise/Louise Adams' newsletter and podcast All Fired Up: untrapped.com.auRagen Chastain's Weight and Healthcare Substack: weightandhealthcare.substack.comAWIM GLP-1 Informed Consent document: https://sizeinclusivemedicine.org/wp-content/uploads/2023/11/MSSI-GLP1-Informed-Consent-1-1.pdfHAES Health Sheets: https://haeshealthsheets.com/Non-Diet Coaching Assessment Tool: stephaniedodier.com/clientassessmentThe Groundwork waitlist: https://program.stephaniedodier.com/groundwork

Binary thinking is not a character flaw. It is a survival mechanism. And it is the #1 thing keeping women stuck in their relationship with food.In this episode I go into the grey zone: what it is, why the brain defaults to all-or-nothing thinking, and what it actually takes to build the capacity to live in the nuanced middle.What you will learn:Why binary thinking is the #1 cognitive pattern blocking food peace and body image workHow diet culture and systems of oppression use binary thinking to keep women compliantThe CBC three-step framework for separating facts from thoughts and tracing the behavior chainWhy more information will not fix all-or-nothing thinking, and what actually willMentioned in the show:Non-Diet Client Assessment Tool: https://www.stephaniedodier.com/clientassessmentCoach Corner Vault: https://www.stephaniedodier.com/coach-cornerNon-Diet Coaching Certification Waitlist: https://www.stephaniedodier.com/non-diet-coaching-certification/Groundwork Waitlist: https://www.stephaniedodier.com/groundwork

Journaling and thought work are not the same thing. And if you've been mixing them up, the change you're looking for may be stalled at the surface.In this Coach Corner, I answer a real question from a Groundwork client who has been deep in the podcast. She noticed I keep talking about thought work and cognitive behavioral coaching, and she asked: is that the same as what I'm doing when I journal?It's not. And knowing the difference changes everything.In this episode you will learn:What journaling is, what the research says, and exactly what it does and does not doWhat thought work is and how it accesses the three levels of thought that journaling cannot reachThe difference between CBT and CBC and which one applies to coachingHow to decide which tool to use with your client based on where they are in their journeyWhy CBC is the evidence-backed gold standard for body image and eating behavior changeMentioned in the show:Coach Corner Vault: https://www.stephaniedodier.com/coach-cornerNon-Diet Coaching Certification Waitlist: https://www.stephaniedodier.com/non-diet-coaching-certification/Groundwork Waitlist: https://www.stephaniedodier.com/groundworkNon-Diet Client Assessment Tool: https://www.stephaniedodier.com/clientassessment

You've been doing the body image work. So why are you still having " bad body image days?"Because the goal was never to stop having them.In this episode, I'm breaking down body image perfectionism — the belief that if you heal enough, do the work long enough, follow the protocol closely enough, you'll arrive at a place where your body never bothers you again. That's not healing. That's perfectionism with a wellness label on it.I share the DM conversation that sparked this episode, real examples from my own life — including a chronic pain flare up and a feminist graphic tee that didn't go as planned — and what body image healing actually looks like when it's working.What you'll learn in this episode:What body image perfectionism is and why it's keeping you stuckWhy body neutrality — not body positivity — is the actual goalWhat it means to ride the body image experience instead of chasing perfectionismHow chronic health conditions and healthism feed the same perfectionism trapWhat health professionals must understand before coaching body image effectivelyMentioned in the show:The Body Image Coaching Immersive: https://www.stephaniedodier.com/body-image-coaching-mentorship-immersive/Coach Corner Vault: https://www.stephaniedodier.com/coach-cornerNon-Diet Client Assessment Tool: https://www.stephaniedodier.com/clientassessmentNon-Diet Coaching Certification Waitlist: https://www.stephaniedodier.com/non-diet-coaching-certification/

Bad body image days aren't failures. They're the mechanism. Stephanie teaches the healing spiral and why oscillation is how real body image work actually moves forward.In this Coach Corner episode, I teach two concepts that created a light bulb moment inside the first session of The Groundwork: the oscillation of body image and the healing spiral. These are not abstract ideas. They are the reframe that changes how you coach, and how you live in your own body.What you'll learn in this episode:Why healing is a spiral, not a straight line, and what that actually looks like in practiceWhat oscillation means and why the hard moments are the most healing phases of the journeyHow to coach clients through "setbacks" with curiosity instead of judgmentWhy bad body image days are a skill-building opportunity, not evidence that something went wrongThe onion layer your clients don't expect: why body image work always leads to self-worthMentioned in the show:The Body Image Coaching Immersive: https://www.stephaniedodier.com/body-image-coaching-mentorship-immersive/The Groundwork: https://program.stephaniedodier.com/groundworkCoach Corner Vault: https://www.stephaniedodier.com/coach-cornerNon-Diet Client Assessment Tool: https://www.stephaniedodier.com/clientassessmentNon-Diet Coaching Certification Waitlist: https://www.stephaniedodier.com/non-diet-coaching-certification/