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Too often, conversations about health start and stop with weight loss. There’s little room for anything else—like metabolic health, quality of life, or what it actually feels like to live in your body. That narrow focus leaves so many people feeling stuck, frustrated, or invisible—especially when they’re doing all the “right” things, and nothing changes.

And for those who’ve worked hard to unlearn diet culture—to separate health from weight—medication can bring up a whole new kind of conflict. It can feel like you’re betraying your values just to feel better. But what if taking care of your health didn’t mean shrinking your  body or giving up your beliefs? 

In this episode, psychotherapist Kacee Markarian shares her personal story of navigating fatty liver disease, GLP-1 medication, and life in a fat body—while staying rooted in fat liberation. Her journey reveals what it actually looks like to care for your health on your own terms, from dealing with food noise and medical gaslighting to finding body neutrality in a world obsessed with the wrong metrics.

References

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Audio Stamps

01:09 - Psychotherapist Kacee Markarian shares her journey with fatty liver disease, GLP-1 medication, and the complex emotions of body change while staying committed to fat liberation.

07:50 - Casey reflects on how body changes affected her place in the fat liberation community.

09:35 - Kacee opens up about the complexity of navigating fat liberation while using GLP-1 medications for health, not weight loss.

20:02 - Two sides of food freedom: Kacee and Dr. Rentea share completely different experiences with how GLP-1s changed their relationship to eating.

24:13 - Challenging internalized shame, recognizing the power of medication, and redefining success through neutrality.

32:25 - Kacee’s advice for anyone caught between wanting health and refusing diet culture.

Join the September 30/30 round. 

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.

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