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ForumsOff-TopicGLP-1 memes thread — anyone have experience?

GLP-1 memes thread — anyone have experience?

SarahChen_PharmD Sun, Apr 6, 2025 at 5:37 AM 14 replies 1,649 viewsPage 1 of 3
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SarahChen_PharmD
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Apr 6, 2025 at 5:37 AM#1

A reference post rather than a discussion. Corrections are the point; I would rather this be right than mine. It is about food noise, and it is deliberately narrow — everything I am not confident about is marked as such.

What is actually established

Food noise is the best term this community has produced and it describes something the trials did not measure well: the constant background computation about food that most people with obesity live with and most people without it do not believe exists. GLP-1 agonism reduces the salience of food cues in the reward pathway rather than simply reducing hunger, which is why the reported experience is silence rather than willpower. It is also why its return on dose reduction is the first thing people notice, well before the weight moves.

The condition it depends on

It is worth naming the loss side of it. Food was a source of pleasure and structure, and its removal can leave a gap that people are not prepared for.

What I am not sure about

So the question, as narrowly as I can put it: whether the quiet is the same mechanism as the appetite suppression or a separate one, because they seem to come and go on different schedules. I would rather have one careful answer than five confident ones.

— SarahChen_PharmD · corrections welcome and will be edited into this post with credit
48 18Dr.ObesityLA, NurseKim_ATL, paul_denver and 45 others
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TrialNerd_Beth
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Apr 6, 2025 at 6:27 AM#2
SarahChen_PharmD said:
Food noise is the best term this community has produced and it describes something the trials did not measure well: the constant background…

The GLP-1 and alcohol use disorder connection, relevant to food noise: observational data from Scandinavian registries shows reduced alcohol-related hospitalizations in GLP-1 agonist users[1].

The mechanism is plausible: GLP-1R is expressed in the mesolimbic reward pathway (VTA, nucleus accumbens). Agonism at these receptors may reduce the reinforcing properties of alcohol, similar to the reduction in "food noise."

RCTs for GLP-1 agonists in AUD are now underway. If positive, this would be a paradigm-shifting repurposing of existing medications.

References:
[1] Wang W, et al. Nat Med. 2024;30:574-584.
Last edited: Apr 6, 2025 at 10:27 AM
47 17PharmHunterJen, TomTeleRx, DoseLogDan and 44 others
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DanielChem_CHI
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Apr 6, 2025 at 7:17 AM#3
SarahChen_PharmD said:
Food noise is the best term this community has produced and it describes something the trials did not measure well: the constant background…
SarahChen_PharmD said:
...regarding food noise mechanism of action...

To build on this — the mechanism is more complex than "it makes you less hungry." GLP-1 agonists:

  1. Activate hypothalamic satiety centers (appetite reduction)
  2. Delay gastric emptying (prolonged fullness)
  3. Potentiate glucose-dependent insulin secretion
  4. Suppress glucagon secretion
  5. Modulate reward pathway dopaminergic signaling
  6. Reduce hepatic lipogenesis
  7. Have direct cardiovascular protective effects

It's a multi-target drug with systemic metabolic effects. Understanding the mechanism helps us predict and manage side effects.

46 16patPC_UT, Dr.DermMIA, fiona_VT and 43 others
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Dr.RheumBOS
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Apr 6, 2025 at 8:07 AM#4
DanielChem_CHI said:
SarahChen_PharmD said: ...regarding food noise mechanism of action...

"Food aversion" side effect of food noise that I wasn't prepared for: I used to LOVE cooking and trying new restaurants. Now certain foods — especially sweets — literally repulse me.

It's not just reduced appetite; it's an active disgust response. My therapist says this is common and likely related to the reward pathway modulation. It's mostly a positive change, but I do miss enjoying food the way I used to.

45 15lori_vegas, Dr.PulmRoch, maya_sedona and 42 others
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MounjBrad
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Apr 6, 2025 at 12:51 PM#5
TrialNerd_Beth said:
The GLP-1 and alcohol use disorder connection, relevant to food noise: observational data from Scandinavian registries shows reduced alcohol-related…

Mine went the same way, slower.

Last edited: Apr 6, 2025 at 5:51 PM
44 14marco_milano, pam_columbus, nick_SD_fit and 41 others
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