#177: GLP-1s and Disordered Eating: What's Not Being Talked About with Dr. Rachel Millner

This week on the podcast, Abbie is joined by Dr. Rachel Millner — a brilliant, deeply compassionate psychologist and fat liberationist (and return guest!) — to talk about the overlap between GLP-1 use and disordered eating.

They explore how these drugs impact the body, including the side effects and mechanisms of action, but also how they stir up old stories of control, restriction, worthiness, and shame.

Some of what you’ll hear…

- Rachel’s path away from punitive exercise towards a self-caring approach to movement that isn’t about weight loss

- Her campaign to get more fat fitness instructors into spaces like Peloton

Behind the paywall you’ll hear:

- How GLP-1s reinforce the idea that we can (and should) override our body’s needs

- The eerie similarity between side effects and eating disorder symptoms

- Why the medicalization of weight loss is not neutral or harm-free

- The emotional cost of being praised for disappearing

- What it means to choose recovery in a culture that rewards restriction

- And most of all, how we hold space for nuance and care — without shame

Dr. Rachel Millner (she/her) is a psychologist, Certified Eating Disorder Specialist and Supervisor, and a Certified Body Trust® provider. She has spent her career working with people struggling with all forms of eating disorders and disordered eating and those wanting to break free from diet culture. She views herself as a therapist and activist, and her work is trauma-informed, fat-positive, anti-diet and rooted in feminist theory, relational theory, social justice, and body liberation.

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Podcast Cover Photography by Anya McInroy

Podcast Administrative Support by Alexis Eades

Podcast Editing by Brian Walters

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#176: Living with Chronic Illness: Why You Are More Than Your Body with Dr. Jennifer Caspari