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Laraine sits down with Dr. Robyn Pashby, a clinical health psychologist who specializes in obesity care, to unpack the emotional weight so many of us carry — fear of regain, food noise, internalized weight bias, and the mental skills that make long-term success possible. This episode is for patients who are using GLP-1s to treat the disease of obesity (Zepbound, Mounjaro, Wegovy, Ozempic) and anyone supporting them on this adventure. What you’ll learn • Why obesity is a neurobehavioral disease — not a willpower problem • “Food noise” vs. normal hunger cues, and when to notch down medication • How to spot red-flag symptoms (dizziness, hair shedding, bradycardia) and when to check in with your clinician • Practical tools to lower regain anxiety without all-or-nothing thinking • Ending internalized weight bias and setting boundaries that protect your health • Exercise re-framed: move for your mind, not the scale • How to find the right therapist (obesity-informed, ED-trained, or both) • Access & advocacy: why education and policy change matter for patients About our guest — Dr. Robyn Pashby Clinical health psychologist; 20+ years in obesity care; speaker at OAC and ObesityWeek. Book: The New Food Fight https://tinyurl.com/393afdv7 Talk referenced: “What We Carry” • Beyond Pounds: Dr. Robyn Pashby on the Hid... Resources & links • Dr. Pashby’s book: The New Food Fight — https://tinyurl.com/393afdv7 • Dr. Pashby’s “What We Carry” talk — • Beyond Pounds: Dr. Robyn Pashby on the Hid... • Find an obesity-medicine clinician - https://obesitymedicine.org/about/fin... • GLP-1 FOCUSED PRODUCTS AND SERVICES WE USE • Get your Hume BodyPod today and use our exclusive Downsized code for an extra 20% off on top of the sitewide sale—up to 50% total savings! 👉 https://humehealth.com//discount/THED... • Me Again Iphone GLP-1 App: https://apps.apple.com/us/app/meagain... • Start your weight loss journey today! We use Mochi Health: https://joinmochi.com/. Use Laraine’s code for $40 off: QIYGO8. • AMAZON GLP-1 Companion Product Store: https://www.amazon.com/shop/downsized • As an Amazon Associate, I earn from qualifying purchases. • Laraine uses Rodan + Fields skin care. Save 25% on your 1st order now through 9/30/25 here: https://downsized.myrandf.com/ • Laraine uses Mag07 for constipation. Use her link to buy direct here: https://tidd.ly/41ewCLT • • Rsvp For A Free Meetup: Https://Thedownsized.Org/Meet-Ups/ • Downsized Website: Https://Thedownsized.Org/ • Book The Downsized At Sea Cruise 2026: Https://Thedownsized.Org/Downsized-At... • Join Club Downsized: Https://Www.Youtube.Com/@Thedownsized... • Sign The Petition To Ask Kelly Clarkson To Join Us on the Downsized: Https://Www.Change.Org/Downsizedkelly • FOR SPONSORSHIPS, BRAND DEALS & COLLABS: https://thedownsized.org/contact/ This video is for educational purposes only and is not medical advice. GLP-1 medications such as semaglutide (Wegovy, Ozempic) and tirzepatide (Mounjaro, Zepbound) can cause serious side effects, including thyroid tumor risk, pancreatitis, gallbladder problems, and kidney issues, as well as common effects like nausea, vomiting, and diarrhea. We have no financial or advertising relationship with Eli Lilly or Novo Nordisk. Always talk to your healthcare provider for full safety information. 00:00 Introduction 00:19 Interview with Dr. Robyn Pashby Begins 01:29 Dr. Pashby's Background and Personal Connection to Obesity 02:32 Understanding Obesity as a Neurobehavioral Disease 04:00 The Emotional Weight of Obesity 07:46 Mental Health and Weight Management 20:19 Seeking Professional Help for Weight and Mental Health 25:10 The Role of GLP-1 Medications in Obesity Treatment 32:25 Recognizing Health Warning Signs 33:51 Addressing Weight Bias and Stigma 36:59 Behavior Change Strategies for Health 42:33 The Importance of Access to Treatment 46:34 Advocating for Yourself in Healthcare 54:26 Upcoming Events and Final Thoughts