479-Beyond GLP-1: Food Noise with Dr. Erin Knopf

But I'm going to ask you this question because that's what I asked everyone when we started this series.

From your seat and your triple board certified specialty, what would you say we're missing when we think about GLP-1 in 2026? Oh,

how much time do we have? Truly.

What are we missing? I think we are missing everything about holistic healthcare.

I think GLP-1 prescriptions and, you know, provisions is really just looking at one outcome is their weight loss.

And then people are either responders or non-responders.

They're not actually looking at the whole person.

When people talk about GLP-1s will improve quality of life, they're really talking about just giving in to weight stigma and reducing discrimination by being in a smaller body.

We're not really talking about how much discrimination truly exists for individuals in larger bodies.

It really is as ubiquitous as racism, but at least racism is something people know they shouldn't really admit out loud.

But when it comes to health care, And weight stigma, no, it's normalized.

And the degree of harm is minimized tremendously.

I love this analogy because that's what I say as a fat person.

I say to people, like, I'm a victim of oppression in the same way that people of color are.

But the difference is in today's world, it's acceptable for people to treat me the way they do because I'm fat versus discrimination of other groups of people.

So that's correct.

And exactly.

And this

has been something that has been building up for, you know, truly we can at least say the last hundred years, but we can go back even further.

We know that there are racist origins into why there's so much fat phobia and weight Sigma, but at least, you know, in American history, we know it began in the early 1900s and it all began when MetLife wanted to create a certain standard.

of what is ideal health and ideal body size.

And that was the first time human beings were actually compared to some standard metric.

And then unfortunately, it just ran from there.

And now you have the Society of Obesity Physicians, and we overly clinicalize the larger body physique.

And then you have Ansel Keys, who I have a love-hate relationship with, since he provided so much data for us to better understand how starvation affects the brain and body and long-term issues beyond, he is also the one who said, oh, BMI, great.