Food noise. If you’ve heard the term, you probably know exactly what it means. If you haven’t, you might be about to have a lightbulb moment. It’s that relentless mental chatter about food, not hunger, not cravings, but constant, unwanted thoughts that just won’t quit.

For years, people struggling with this phenomenon didn’t even have words for it. They thought it was a willpower problem. It wasn’t. And now, thanks to groundbreaking research, we finally have a way to understand, measure, and potentially treat this invisible burden that affects people across the weight spectrum.

Join Holly and Jim as they sit down with Dr. Emily Dhurandhar, Director of Research Special Projects at Texas Tech University Health Sciences Center, and lead author of the RAID-FN Inventory, the first validated tool to measure food noise. Discover why patients, not clinicians, coined this term, how GLP-1 medications are revealing what many have silently endured, and what the future holds for treating this pervasive issue.

Discussed on the episode:

• Why food noise is completely different from normal thoughts about food
• The surprising discovery about who experiences food noise (hint: it’s not just people with obesity)
• What turning off a kitchen fan has to do with understanding these medications
• How bodybuilders and endurance athletes might experience food noise differently
• Why your environment in the 1940s versus today changes everything
• The one word clinicians need to stop assuming about food noise
• What to do if you think you’re experiencing this, but your doctor has never heard of it

For decades, people with obesity were told the solution was simple: eat less, move more, try harder. When that didn’t work, they were blamed. But science has always told a different story: obesity is a chronic, biologically driven disease, just like diabetes or hypertension. And right now, we’re witnessing the most significant transformation in obesity medicine that has ever happened.

The new GLP-1 medications like Wegovy and Zepbound are making headlines everywhere, but with breakthrough treatments come big questions. Who should take them? How do you know which one is right for you? What happens when you stop? And with millions of people getting these medications online or from providers with little expertise, how do you ensure you’re getting safe, effective care?

Join Holly and Jim as they sit down with Dr. Louis Aronne, one of the true pioneers who shaped this revolution from the very beginning. For over 30 years, Dr. Aronne has been on the front lines, treating patients and conducting research at one of the premier obesity centers in the country. He’ll share the real story behind these medications, what he’s learned from treating 9,000 patients, and where obesity treatment is heading next.

Discussed on the episode:

• The mouse experiment from the 1980s that changed everything about how we understand weight
• Why some people feel amazing on Wegovy while others do better on Zepbound
• The creative dosing strategies that help patients who can’t tolerate standard doses
• What happens to the majority of people who stop taking GLP-1 medications
• The surprising parallel between treating obesity and treating high blood pressure
• Why registered dietitians could be the perfect providers for obesity care
• The 15 new medications coming in the next five years that will transform access
• How these medications prevent 94% of diabetes cases in people with prediabetes
• The simple eating strategy that works almost like taking medicine
• What it really means when people say taking medication is cheating

You’ve done it. You’ve lost the weight. But then something shifts. The hunger gets louder. Food becomes more tempting. The scale starts creeping back up. You’re doing everything right, yet your body seems to be fighting you at every turn. If this sounds familiar, you’re not alone, and more importantly, it’s not your fault.

The truth is, after weight loss, your body launches a powerful biological response designed to bring that weight back. It’s not about willpower or discipline. It’s about survival mechanisms that were built for a world without grocery stores on every corner. Understanding what’s actually happening inside your body after weight loss changes everything from how you approach maintenance to how you talk to yourself when things get hard.

Join Holly and Jim as they sit down with Dr. Paul MacLean, one of the world’s leading experts on the biology of weight regain. You’ll discover why keeping weight off requires completely different strategies than losing it, what your metabolism is really doing after weight loss, and the science-backed tools that can help you succeed long-term despite your biology working against you.

Discussed on the episode:

• The powerful rubber band analogy that explains why your body fights to regain weight
• What’s really happening at the cellular level when you lose weight (and why it persists)
• Why the speed of weight loss may matter less than you think
• The controversial truth about whether metabolic adaptation ever goes away
• One scientist’s personal journey with weight struggle and GLP-1 medications
• The myth about starting with a “clean slate” after weight loss