04/07/2026
Appetite, Control, and Controversy: GLP-1s in Bulimia and Binge Eating Disorder
🧠 What are GLP-1 medications?
Drugs like:
semaglutide (e.g., Ozempic, Wegovy)
liraglutide (e.g., Saxenda)
They mimic a natural hormone (GLP-1) that:
Reduces appetite
Slows stomach emptying
Helps regulate blood sugar
They’re prescribed for diabetes and weight management.
Potential effects of GLP-1 meds in treating Eating Disorders:
1. They may reduce binge urges (for some people)
Appetite suppression can lower the frequency or intensity of binge episodes
Some early research and anecdotal reports suggest reduced “food noise”
👉 BUT: this is not the same as treating the underlying disorder
2. They can reinforce disordered patterns
This is the biggest concern.
Rapid weight loss can strengthen eating disorder thoughts
Appetite suppression may be used as a tool to restrict
People may rely on the medication instead of addressing the psychological drivers
3. They may worsen physical risks
GLP-1 meds already cause:
Nausea
Vomiting
Delayed gastric emptying
I
n someone with bulimia:
Vomiting behaviors + medication side effects = higher risk of dehydration, electrolyte imbalance, and GI complications
4. They don’t treat the root causes
Bulimia is not just about hunger, it can be about:
Emotional regulation
Self-harm and self abandonment
Trauma or stress
Body image distress
Compulsive patterns
GLP-1 meds don’t address these
GLP-1–based treatments are getting a lot of attention for eating disorders like bulimia nervosa (BN) and binge eating disorder (BED), but their role...