07/09/2026
Further information below 👇
Firstly, I am not anti-GLP-1. For people who need this medication (for example, those living with obesity or type 2 diabetes), the creation of this medication can be life-changing.
I am not a doctor or prescriber, so I this video is not commenting on individual prescriptions. This video is my take on the system around these medications.
Three things concern me most:
1. Screening doesn’t appear to be consistent. Proper screening means a clinician checking someone actually meets the clinical criteria. In my opinion, it should include a face-to-face consultation to assess medical history, eating disorder screening, and a conversation about why someone wants to lose weight.
2. Eating disorders are a high-risk group that’s easy to miss. You cannot tell whether someone has an eating disorder by looking at them. For some individuals with eating disorders, these medications could be detrimental to their recovery, which is exactly why individual assessment matters.
3. Monitoring is not always in place. Once someone is prescribed these medications, they deserve a team of healthcare professionals around them to monitor their wellbeing, whether weight loss is happening safely (preserving as much muscle and bone mass as possible), and to support sustainable changes so that if they come off the medication, they can maintain them.
We also need to be looking upstream. What can we change about the society we live in so that fewer people feel they need to be smaller in the first place?
None of this is a criticism of anyone taking these medications. It’s a call for better screening, better regulation, better care.
General information from a nutrition and disordered eating perspective, not medical advice. If you’re taking or considering a GLP-1, please speak with your prescribing clinician. If you’re struggling with food or your body, consider the following website - https://www.beateatingdisorders.org.uk/