
01/09/2025
Binge or opportunistic eating can be healing in response to under-eating (and for other reasons). I worry that we are not considering the harm in silencing this survival mechanism via medications, e.g. the restrict-binge cycle can become purely restriction. This is a complex conversation and this post is in no way meant to shame anyone for their choices; everyone deserves compassionate treatment that works for them AND I want to make sure we are not equating success with tolerating malnutrition or restriction with ease. We also need to consider how weight stigma plays into these interventions and to ensure everyone has the opportunity to ethically consent to GLP-1s (have all the information). Here is a great resource for that :
https://sizeinclusivemedicine.org/wp-content/uploads/2023/11/MSSI-GLP1-Informed-Consent-1-1.pdf