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ForumsOff-TopicMorning routines that support your GLP-1 journey — looking for input

Morning routines that support your GLP-1 journey — looking for input

andrew_nyc Thu, Jun 5, 2025 at 12:15 AM 36 replies 1,895 viewsPage 1 of 8
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andrew_nyc
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Jun 5, 2025 at 12:15 AM#1

The thing that changed for me was not hunger, it was that the constant background negotiation about food simply stopped, and I had not realised it was constant until it was not.

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.

Practical detail welcome, however dull — the duller the better.

12 7Dr.KarenChen, Dr.NateNeph, PharmD_Rodriguez and 9 others
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LibrarianMeg
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Jun 5, 2025 at 1:32 AM#2
andrew_nyc said:
The thing that changed for me was not hunger, it was that the constant background negotiation about food simply stopped, and I had not realised it was…

Alcohol relationship change with food noise: I used to drink cocktails most nights. Since starting GLP-1 therapy, I have zero interest in alcohol. Haven't had a drink in 11 months.

The "food noise" reduction seems to extend to other reward-seeking behaviors, including alcohol. My liver enzymes have improved, my sleep is better, and I've saved roughly $201/month on alcohol. Triple win.

Last edited: Jun 5, 2025 at 3:32 AM
11 6PharmD_Rodriguez, julia.endo, JessicaM_2024 and 8 others
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Dr.DermMIA
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Jun 5, 2025 at 2:49 AM#3
LibrarianMeg said:
Alcohol relationship change with food noise: I used to drink cocktails most nights.

Neuroscience perspective on food noise:

GLP-1 receptors are expressed throughout the CNS, with high density in the hypothalamic arcuate nucleus, area postrema, and — critically — the mesolimbic reward pathway[1].

This is directly relevant to food noise because the central effects of GLP-1 agonists extend far beyond simple appetite suppression. The reduction in "food noise" that patients describe is likely mediated by modulation of dopaminergic signaling in the VTA and nucleus accumbens.

The emerging data on reduced addictive behaviors (alcohol, gambling) further supports this mechanism. food noise should be understood in this broader neurobiological context.

References:
[1] Merchenthaler I, et al. J Comp Neurol. 1999;403(2):261-280.
Last edited: Jun 5, 2025 at 4:49 AM
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anna.melb_AU
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Jun 5, 2025 at 4:06 AM#4
andrew_nyc said:
The thing that changed for me was not hunger, it was that the constant background negotiation about food simply stopped, and I had not realised it was…

This is my experience too, for whatever a second data point is worth. I had assumed I was the exception until I read this.

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roxy_nash
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Jun 5, 2025 at 11:34 AM#5

Adding the clinical framing, because it changes how the question reads.

Central vs peripheral GLP-1R signaling in food noise: elegant studies using brain-penetrant vs peripherally-restricted GLP-1 agonists show that ~80% of the weight loss effect is centrally mediated[1].

The key brain regions: arcuate nucleus (appetite), area postrema (nausea), NTS (satiety), VTA/NAc (reward). Peripheral effects (gastric emptying, insulin secretion) contribute but are secondary for weight loss.

This has implications for next-gen drugs: optimizing brain penetration and CNS receptor occupancy may be more important than systemic exposure.

References:
[1] Secher A, et al. J Clin Invest. 2014;124(10):4473-4488.
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