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In this conversation, Christopher and Laraine Durham sit down with Dr. Nina Crowley to talk about what most people never hear in GLP-1 weight loss conversations: why the scale should become a neutral data point, how body composition can change the way you measure progress, and why behavior-based goals matter more than chasing a single number. Dr. Crowley is a rare combination of registered dietitian + health psychologist, with deep experience in bariatric care and obesity advocacy. She also works in the medical body composition space, helping providers improve how they communicate about weight, muscle, and fat in ways that are more patient-centered and less stigmatizing. If you’ve ever dreaded weigh-ins, felt judged by a number, or wondered what “progress” even looks like in GLP-1 maintenance, this one is for you. In this episode, you’ll hear: • Why weight should become a neutral number • The difference between weight loss and body composition change • How to think about muscle, fat, and visceral fat without fear • Why “tell me what to eat” is usually a trust issue, not a knowledge issue • How to set goals that actually stick, especially in maintenance • What comprehensive obesity care should look like beyond the prescription Connect with Nina Crowley, PhD, RD: LinkedIn: linkedin.com/in/ninacrowley Twitter/X: @PsychoDietitian Instagram: @ninamcrowley Facebook: facebook.com/ninacrowley TikTok: tiktok.com/@dr.ninacrowley Podcast – In the Know with Nina: Listen on Spotify https://open.spotify.com/show/4ihRR2y... Connect with seca: Website: www.secambca.com Instagram: / seca_northamerica LinkedIn: / seca-mbca-north-america +++++++++++++++++++++++++++++++++++++++ Get your Hume BodyPod today and use our exclusive Downsized code for up to 50% total savings! 👉 Use our Code: THEDOWNSIZED Link to purchase: https://humehealth.com//discount/THED... Start your weight loss journey today! We use Mochi Health: https://app.joinmochi.com/eligibility... Use Laraine’s code for $40 off: QIYGO8. Me Again Iphone GLP-1 App: https://apps.apple.com/us/app/meagain... AMAZON GLP-1 Companion Product Store: https://www.amazon.com/shop/downsized As an Amazon Associate, I earn from qualifying purchases. DOWNSIZED LINKS Website: https://thedownsized.org Be our guest on The Downsized Dish: apply at https://thedownsized.org/downsized-dish/ Https://Thedownsized.Org/ Book The Downsized At Sea Cruise 2026: Https://Thedownsized.Org/Downsized-At... FOR SPONSORSHIPS, BRAND DEALS & COLLABS: https://thedownsized.org/contact/ +++++++++++++++++++++++++++++++++++++++ 00:00 Welcome to The Downsize 00:30 Meet Dr. Nina Crowley 04:33 Understanding Body Composition 08:44 The Role of Behavioral Science in Obesity Care 16:30 Personalized Health Goals and Motivation 31:15 Breaking Free from the Scale Obsession 32:47 Understanding Weight Fluctuations 34:23 Behavioral Focus Over Results 38:24 Setting New Goals Beyond Weight 42:37 Journey into Bariatric Care 44:47 The Role of Psychology in Dietetics 45:50 The Impact of GLP-1 Medications 52:41 The Importance of Support Systems 55:56 Final Thoughts and Upcoming Events