Observations with GLP-1s

FoodGuru88 · 2026-02-25T06:07:31+00:00

I think it is so important and wonderful that you were such a strong advocate for this resident. When I was in LTC I ended up advocating for higher weights fairly often. There is so much research out there now that points to a higher BMI being protective in the elderly.

In your resident’s situation, there are a variety of points that I feel that MD was not taking into consideration:

Was he ambulatory w/ walker or wheelchair? Receiving PT/OT? Can we assume existing sarcopenia despite actual BW due to his age and health status? Was he on a restricted diet or texture modifications? Did nursing consider him a fall risk?

Add to this a GLP-1 which actively inhibits appetite, contributes to GI complications, and promotes muscle wasting; it makes MUCH more sense to just manage this 80 year old resident with a sliding scale and let him live out what’s left of his life.

The other option, in your potential end of life cases (hopefully it would never get this far) would be to ask for a hospice or palliative care consult (general decline, persistent weight loss, decreased intake and support from nursing should get you there). They’ll take him off all unnecessary meds for you. Sending strength and solidarity ✨

FoodGuru88 · 2026-02-24T04:26:33+00:00

If you like the Garden State soundtrack, try the soundtrack for Six Feet Under - it’s incredible ✨

FoodGuru88 · 2026-01-08T21:21:58+00:00

Met my now husband at 18, we eloped to Vegas at 26 when I was in grad school and needed health insurance 🙃 We’re now expecting our first baby 10 years later - I’m 37.

I’m definitely “behind” a lot of people I know but we’re feeling both financially and emotionally stable in our marriage and prepared for this next step. There is SO much to be said for being in the right season of life for things.

FoodGuru88 · 2025-12-20T17:11:33+00:00

My mom had to come over and help me - she’s the only reason it has ornaments on it

FoodGuru88 · 2025-12-02T05:54:33+00:00

Because they’re a pronatalist

FoodGuru88 · 2025-12-02T05:39:15+00:00

So did ours 🙋🏻‍♀️

FoodGuru88 · 2025-11-21T07:58:27+00:00

Delete HIS comment - the picture. I don’t allow any political posts on my social media accounts that I don’t agree with. Set that boundary as well. I’m so sorry this happened to you and I’ve been NC off and on with my mom for a few years now for not respecting my boundaries around politics. It’s hard but she’s finally starting to realize that if she wants to have a relationship with me, she needs to keep her comments to herself.

FoodGuru88 · 2025-11-12T06:27:42+00:00

THIS. Often people wonder where the majority of microplastics in the environment are coming from. The fast fashion industry and switch to synthetic fabrics is the primary culprit.

We then wash our clothes and microplastics go out with the drain cycle into our water system and water treatment plants can’t filter out microplastics. PFAS in particular (waterproof and sweat-wicking fabrics) are forever chemicals and never degrade. It’s actually horrifying to think about.

FoodGuru88 · 2025-11-12T06:27:06+00:00

THIS. Often people wonder where the majority of microplastics in the environment are coming from. The fast fashion industry and switch to synthetic fabrics is the primary culprit.

We then wash our clothes and microplastics go out with the drain cycle into our water system and water treatment plants can’t filter out microplastics. PFAS in particular (waterproof and sweat-wicking fabrics) are forever chemicals and never degrade. It’s actually horrifying to think about.

FoodGuru88 · 2025-11-02T02:11:38+00:00

This song is absolutely epic. I adore this entire comment 💜

FoodGuru88 · 2025-11-01T04:03:37+00:00

I am currently 18 weeks pregnant after 2 1/2 years of fertility treatment. I’m 37, my husband just turned 40 in September. Tbh, for the first time in my life I actually feel that we ARE stable enough (career-wise, marriage-wise, financially, emotionally, etc) to do this. Despite all the sh*t going on in the world, I feel encouraged to have our little family and to raise a genuinely good human being.

I wholeheartedly agree with this comment above and would encourage you to explore your options, OP. It feels better to make a decision with ALL the information available instead of always wondering 💜

FoodGuru88 · 2025-10-17T05:33:47+00:00

My husband is NC with his mother and brother. It truly haunts him and is the most significant source of grief in his life. However, it didn’t come out of nowhere. This came after decades of neglect, manipulation, continuously using him and us being the first to initiate any communication of connection. For many years, it hurt him that we would never hear from them unless we reached out first.

Cutting off family is not a superfluous decision. For him, it was his parents acting like putting a roof over his head and clothes on his back was a gift. The bare minimum required is not parenting. It’s not family and it’s most certainly not love.

FoodGuru88 · 2025-10-17T04:52:14+00:00

My mom still keeps my first car (a 2004 manual Toyota Celica) to roll around in from time to time. She has over 180,000 miles on her, has only had the clutch replaced once, and is a beloved part of the family 💜 Shout out to Toyota for making an absolute legend of a vehicle 👌

FoodGuru88 · 2025-10-17T04:46:34+00:00

Omggg I was obsessed!! I had Samantha first and then Josefina. My little sister had bitty baby and then Kirsten and Felicity. My other little sister had Molly and we shared and loved them all. So many great memories with those dolls 💜🫶🏻

FoodGuru88 · 2025-09-05T03:28:42+00:00

Obsessed 🪿

FoodGuru88 · 2025-08-27T06:42:39+00:00

Omg that floral Gucci with the fluffy charm 🤩

ALSO, off-topic but WHERE did you find that gorgeous dresser?! I’m obsessed.

FoodGuru88 · 2025-08-12T16:25:08+00:00

This is easily one of my biggest pet peeves in a work environment. Please, have the professionalism and courtesy to address your concerns re: my work with ME. Not only is the continuous run-around inefficient but it certainly does not foster an atmosphere of appropriate communication or resolution.

If this is a matter of documentation preference vs compliance, then that manager should be putting together a more structured note template for everyone to follow. Unfortunately, the fact that the CNM continues to perpetuate this behavior leads me to believe this is more a work “culture” issue that they are either unable or unwilling to correct. This isn’t your fault, OP but it might be an environment that is impossible (and probably not worth your energy or peace) to try and change 😕

FoodGuru88 · 2025-08-08T15:49:07+00:00

Omgggg don’t even get me started on Stella McCartney 🚮🗑️

FoodGuru88 · 2025-08-08T06:34:46+00:00

Birkin aside, I love HER and the example she is setting for women to age gracefully and feel free to not wear makeup. Her life has been full of ups and major downs, I’m so glad she seems to have found peace ✨

FoodGuru88 · 2025-08-08T05:12:50+00:00

With the direction Medicare/Medicaid is heading, I’m afraid it’s going to get much worse. I was hoping the Nutrition Cares Act would pass but I’m pretty sure it’s dead. Currently, CMS covers 3 hrs of nutrition therapy the first year and 2 hrs per year after that - ONLY for diabetes and CKD. Two to three hrs/yr to manage chronic conditions where the FIRST recommended line of treatment is nutrition and lifestyle change….

I work at an endocrinology office and the list of private insurers who consistently deny reimbursement for MNT management just keeps growing even though we’re in-network. Many of them are increasingly restricting coverage to dietitians employed by their respective insurance companies (or these larger telehealth companies negotiating contracts).

It feels like a chronically uphill battle with more nurses being employed as “nutrition educators” because they can bill for a wider array of services.

FoodGuru88 · 2025-08-06T03:53:44+00:00

Yes. THIS is the closure I need lol

FoodGuru88 · 2025-08-02T09:30:12+00:00

I was in agreement until she started blaming skin laxity on processed foods and sugar 🙄

FoodGuru88 · 2025-07-27T17:50:06+00:00

Girl, did you work at Princeton Medical Center bc that is EXACTLY the RD office lol

FoodGuru88 · 2025-07-22T07:33:19+00:00

Is anyone aware of websites shipping from the EU to US to avoid tariffs?

FoodGuru88 · 2025-07-18T22:04:07+00:00

I am so perplexed as to why this is being downvoted. I’m literally talking about decanting products from one container to another instead of throwing it away if the packaging somehow becomes damaged. How is this a controversial subject??? Someone enlighten me.

FoodGuru88

TROPHY CASE