Description
The GLP-1 quiets the food noise. Then what?
Weight loss therapist Lora Grabow, LMSW has spent 23 years telling patients they don't have to earn help. This year, she had to take her own advice.
Lora joins Dr. Weiner and Zoe for a conversation about headwork, the piece almost every weight loss treatment plan is still missing. Mindset is about what you think. Headwork is about what to DO with what you think, and that difference is the whole episode.
She walks through her three-step "power of the pause" framework using a scenario most of us know by heart: it's 11pm, you're anxious about work tomorrow, and you're standing in the kitchen. She explains why shame is the single biggest barrier to behavior change, and why guilt is not the same thing. And she gets honest about her own decision to start a GLP-1 this past June, after a hysterectomy and perimenopause left her doing everything right and getting nowhere.
That last part is the moment of the episode. Lora caught herself in the exact thinking she coaches patients out of every day.
WHAT WE GET INTO
Headwork vs. mindset, and why information only turns into transformation when you know what to do with it
The power of the pause: catch the thought, name the feeling, then choose how you respond
Why we say "I'm feeling anxious," not "I'm anxious," because we are not our feelings
Shame vs. guilt, through Brene Brown's framing: shame says I am a mistake, guilt says I made a mistake
Obesity is a disease, not a decision, and why Lora calls her role "shame lifter"
Lora's own GLP-1 story, from the menopause middle to the friend at breakfast who asked the question that stopped her cold
What actually got quiet for her, and it wasn't food noise
Dr. Weiner's bell curve: roughly 15% of people do great on GLP-1s no matter what, roughly 15% won't respond at all, and the 70% in the middle almost never show up on your feed
Numbing vs. coping through, and the lidocaine analogy that explains why food, phones, and doom scrolling all make the next round harder
"Dead people goals," Dr. Susan David's line about the only people not feeling uncomfortable emotions
Community is treatment, and the question Lora asks at the end of every support group
FREE WORKSHOP WITH LORA, SEPTEMBER 16
"What Happens After the Food Noise Gets Quiet?"
September 16 at 7:00pm Eastern. Completely free, no cap on attendance, and a replay goes out to everyone who registers.
Lora is walking through her brand new headwork framework and taking attendees through a live exercise on root cause work and patterns. If this conversation resonated, this is the deeper version of it.
Register: https://loragrabow.com
FIND LORA
Website and Headwork Matters newsletter: https://loragrabow.com
Instagram: https://instagram.com/lora.grabow
Facebook: Lora Grabow, LMSW
Substack: https://substack.com/@lora809857
CHAPTERS
0:00 The GLP-1 quiets the food noise, then what?
0:33 How Dr. Weiner and Lora go back 20 years
2:11 23 years in medical and surgical weight loss
3:30 Headwork vs. mindset, what's actually different
6:12 Three tips for food noise: the power of the pause
9:19 Walking through the 11pm kitchen moment
11:25 Why weight loss patients have so little self-compassion
12:49 Obesity is a disease, not a decision
14:48 Shame vs. guilt, and what to say after a day off plan
16:39 Are we finally getting it as a society?
18:46 The endocrinologist who "doesn't believe in" GLP-1s
19:58 Lora's own GLP-1 story
22:28 What actually got quiet, and it wasn't food noise
25:17 Earning help vs. earning results
28:02 The 15/70/15 bell curve nobody talks about
29:21 Root cause work: the eating is the symptom
33:11 Dopamine, numbing, and the lidocaine shot
34:10 Coping through instead, and community as treatment
35:22 The support group mic drop question
39:10 "Dead people goals"
43:08 Lora's free September 16 workshop
44:41 Wrapping up
#GLP1 #FoodNoise #WeightLoss
Books:
A Pound of Cure
https://www.amazon.com/gp/product/B00AEYQYDE/
https://www.audible.com/pd/A-Pound-of-Cure-Audiobook/B09T777LSW
How Weight Loss Surgery Really Works
https://www.amazon.com/gp/product/1688128808/
The Bariatric Diet Guide and Cookbook
https://www.amazon.com/Bariatric-Diet-Guide-Cookbook-Weight-Loss/dp/1615649875/