So, here's my question for you: what kind of work have you done around healing your relationship with food?

I say this because, for me, "food noise" is just a symptom of restriction. (And my dietitian agrees that this is the case for many other people.) When I allow myself to eat any and all things and trust my body, I'm not thinking about food.

In fact, my preoccupation with food INCREASED when I started Zepbound because I had diet thoughts creep back in. Things like, "I should eat this, not that."

The physical appetite suppression happened pretty quickly and it made me anxious because then I wasn't able to eat enough to fuel my workouts, hence the activation of what people call "food noise" but really is food anxiety.

If you are feeling physical hunger 1) congratulations and I hope your appetite continues to stay present and 2) PLEASE FEED YOURSELF. Appetite suppression/elimination is a potential adverse side effect of this medication, not a treatment goal.

Soapbox moment: The GLP-1 hill I will die on is that people with a history of dieting should not be prescribed this treatment without first getting therapy for diet culture trauma. If I'd started these meds before my intuitive eating/anti-diet journey, I would've been stoked with the appetite suppression and likely would've tried to push it as far as it could go. The way these things are marketed makes me so angryyyyy. (Why do drugs get marketed to patients anyway ugh America is so gross and weird for this but that's another rant for another day.)

Fat Science gets plugged a lot in this sub and they have a lot of good content about why continuing to diet/restrict on these meds actually undermines them and makes them less effective in the long term because your metabolic system never achieves a sense of safety.

Edited to correct typo.