The Obesity Guide with Matthea Rentea MD

Appetite, Alcohol, and Emotion: GLP-1s and the Brain’s Reward Circuit


Listen Later

Send a Text Message. Please include your name and email so we can answer you! Please note, this does not subscribe you to our email list, it's just to answer if you have a questions for us.

What happens when GLP-1 medications change more than just your appetite?

If you’re considering anti-obesity medications, it’s normal to wonder what else they might affect beyond hunger. In this episode, I respond to a thoughtful listener question: If food and alcohol have been your go-to coping tools, what happens when they no longer provide comfort?

We explore how GLP-1 medications can dampen the brain’s reward response—not just to food, but to other pleasures as well—and what that might mean for social drinking, emotional regulation, and mental health. I also unpack the rare but real risk of mood changes, why it’s so important to have fulfilling habits in place before starting, and how, for many people, these medications unlock a new level of physical freedom and possibility.

If you’re weighing your options or just want a clearer picture of what life on GLP-1s can look like, this episode offers a grounded, honest perspective—plus why having the right medical support really matters.

Audio Stamps

00:30 - Dr. Rentea shares her summer planning approach and introduces a fan mail question about GLP-1 medications affecting reward systems beyond food.

02:13 - A listener asks whether GLP-1 medications shut down reward responses only for food or for everything, and worries about losing coping mechanisms.

03:40 - Dr. Rentea addresses the concerning pattern of using food and alcohol as coping mechanisms for sleep and stress.

05:07 - The reality of how GLP-1 medications change your relationship with food and why many people lose interest in alcohol.

07:28 - The rare but real risk of depression and mental health changes on these medications, and why medical supervision is crucial.

09:27 - On the flip side, how life can become incredibly amazing when physical capabilities improve and new activities become possible.


All of the information on this podcast is for general informational purposes only. Please talk to your physician and medical team about what is right for you. No medical advice is being on this podcast.

If you live in Indiana or Illinois and want to work with doctor Matthea Rentea, you can find out more on www.RenteaClinic.com

Premium Season 1 of The Obesity Guide: Behind the Curtain -Dive into real clinical scenarios, from my personal medication journey to tackling weight loss plateaus, understanding insulin resistance, and challenges with GLP-1s. Plus, get a 40+ page guide packed with protein charts, weight loss formulas, and more. 

Pre-register for the Sep 30/30 group.

...more
View all episodesView all episodes
Download on the App Store

The Obesity Guide with Matthea Rentea MDBy Matthea Rentea MD

  • 4.9
  • 4.9
  • 4.9
  • 4.9
  • 4.9

4.9

200 ratings


More shows like The Obesity Guide with Matthea Rentea MD

View all
Everyday Wellness with Cynthia Thurlow ™ by Everyday Wellness™

Everyday Wellness with Cynthia Thurlow ™

1,195 Listeners

The Holistic GLP-1 Podcast with Elizabeth McGann by Elizabeth McGann

The Holistic GLP-1 Podcast with Elizabeth McGann

38 Listeners

The Hunter Williams Podcast by Hunter Williams

The Hunter Williams Podcast

61 Listeners

The Dr. Tyna Show by Dr. Tyna Moore

The Dr. Tyna Show

1,608 Listeners

High on Life by Sasha High

High on Life

35 Listeners

Conquer Your Weight by Sarah Stombaugh, MD

Conquer Your Weight

40 Listeners

Docs Who Lift by Docs Who Lift

Docs Who Lift

377 Listeners

The Peptide Podcast by The Peptide Queen

The Peptide Podcast

72 Listeners

The Dr. Francavilla Show by Dr. Francavilla

The Dr. Francavilla Show

56 Listeners

The Plus SideZ: Cracking the Obesity Code by Kim Carlos

The Plus SideZ: Cracking the Obesity Code

183 Listeners

Game-Changing Health by Gianna Beasley

Game-Changing Health

22 Listeners

Fat Science by Dr Emily Cooper

Fat Science

101 Listeners

On The Pen With Dave Knapp by Dave Knapp Man On The Mounjaro, Bleav

On The Pen With Dave Knapp

242 Listeners

GLP-1 Hub: Support, Community, and Weight Loss by Ana Reisdorf, MS, RD

GLP-1 Hub: Support, Community, and Weight Loss

52 Listeners

GLP-1 Tribe by Eric Eden

GLP-1 Tribe

23 Listeners