Hangry Thoughts

Social media's favorite hormone to "balance", "eliminate", and "regulate" is cortisol. The internet has become saturated with "cortisol lowering protocols", special drink concoctions like the Sleepy Girl Mocktail, and recommending pilates as your main form of movement. In today's episode, Abbey addresses the topic of cortisol. What is cortisol? Can you naturally lower it? How can you measure cortisol? Do diets impact cortisol levels?

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Sources:

Real-World Intake of Dietary Sugars Is Associated with Reduced Cortisol Reactivity Following an Acute Physiological Stressor

Omega-3 Supplementation and Stress Reactivity of Cellular Aging Biomarkers

Low Calorie Dieting Increases Cortisol

Is fatness really as bad as society makes it seem? Are a "good" diet and exercise really the *only* ways you can achieve health? In today's episode, Abbey digs into weight stigma, fatphobia, and the common health recommendations that fat people receive at the doctor's office. Abbey shares some of the research on the ways weight-based discrimination and fat stigma largely affect mental health. 

TW: discussions of weight stigma, fatphobia, and use of "O" words (ob*se, overwe*ght).

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Sources:

Obesity Stigma: Important Considerations for Public Health, Puhl and Heuer (2010)

Investigating the Relationship between weight-related self-stigma and mental health for overweight/obese children in Hong Kong, Chang (2019)

Weight Bias Internalization and Health, Pearl and Puhl (2018)

The Ozempic episode is HERE (Part 1). By this point, most of us have heard of the celebrities taking Ozempic/ Wegovy. If not, you must not watch the news or be on social media...lucky you! These drugs are being called "a miracle" and the "end of the ob*sity epidemic". Is this true?  Abbey is joined by her intern, Nicole, to discuss all things weight loss drugs. Together they cover: what Ozempic is, how it works for diabetes and for weight loss, the difference between Ozempic and Wegovy, common side effects, and more. There's a lot of discourse in this episode, so buckle up!

TW: "ob*se and ov*rweight terms are used in the episode to describe the research and BMI qualifiers. 

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Collins L, Costello RA. Glucagon-Like Peptide-1 Receptor Agonists. [Updated 2023 Jan 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551568/

Shetty R, Basheer FT, Poojari PG, Thunga G, Chandran VP, Acharya LD. Adverse drug reactions of GLP-1 agonists: A systematic review of case reports. Diabetes Metab Syndr. 2022;16(3):102427. doi:10.1016/j.dsx.2022.102427

Kapoor I, Sarvepalli SM, D'Alessio D, Grewal DS, Hadziahmetovic M. GLP-1 receptor agonists and diabetic retinopathy: A meta-analysis of randomized clinical trials. Surv Ophthalmol. 2023;68(6):1071-1083. doi:10.1016/j.survophthal.2023.07.002

Suran M. As Ozempic's Popularity Soars, Here's What to Know About Semaglutide and Weight Loss. JAMA. 2023;329(19):1627-1629. doi:10.1001/jama.2023.2438

Wilding JPH, Batterham RL, Davies M, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022;24(8):1553-1564. doi:10.1111/dom.14725

Novo Nordisck. Ozempic. https://www.novocare.com/diabetes/products/ozempic.html Web site. Updated 2024

Gómez Lumbreras A, Tan MS, Villa-Zapata L, Ilham S, Earl JC, Malone DC. Cost-effectiveness analysis of five anti-obesity medications from a US payer's perspective. Nutr Metab Cardiovasc Dis. 2023;33(6):1268-1276. doi:10.1016/j.numecd.2023.03.012 Gordon A, Hobbs M. Maintenance Phase; Ozempic. 2023;Podcast

"I was diagnosed with diabetes, can I still explore intuitive eating?". This is a common question Abbey receives - and it makes sense! There is so much fear mongering and misinformation present around nutrition, it makes it difficult to figure out how to eat (especially with a chronic condition). Abbey covers the three types of diabetes, focusing more on Type 2 Diabetes. She touches on each of the 10 principles of intuitive eating and describes the ways you can engage in health promoting behaviors while managing diabetes.

Ramos MH, Silva JM, De Oliveira TAV, et al. Intuitive eating and body appreciation in type 2 diabetes. J Health Psychol. 2022;27(2):255-267. doi:10.1177/1359105320950791

Soares FLP, Ramos MH, Gramelisch M, et al. Intuitive eating is associated with glycemic control in type 2 diabetes. Eat Weight Disord. 2021;26(2):599-608. doi:10.1007/s40519-020-00894-8

Basinger ED, Cameron SJ, Allen G. Stigma, Self-Care, and Intuitive Eating in Black Americans with Type 2 Diabetes. J Racial Ethn Health Disparities. Published online August 25, 2023. doi:10.1007/s40615-023-01772-6

Disclaimer: This podcast is for informational and educational purposes only. It isn’t a substitute for individual medical or mental health advice and doesn’t constitute a provider-patient relationship.

In this week's episode, Abbey shares 20 tips on how to make cooking and prepping food easier! Whether you're on the neurodivergent spectrum or struggle to find easy ways to make food at home, this is for you. Abbey touches on kitchen gadgets, creating smaller steps, reminders, convenience, and more. 

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Abbey answers a common question she receives from her audience, "what's your story?". In today's episode, Abbey takes us back to her days as a senior in high school running club track, through college, and to present day. She discusses the ways her identity as "the athlete" turned into the "healthy friend", how eating "for health" turned into competing in bodybuilding, and when she began to recover from her eating disorder. This is a very vulnerable episode in which Abbey shares things she never has on social media. 

TW: eating disorder discussion, negative body image, issues with food

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Abbey is joined by Sam Pockele on today's episode! Tune in as we bounce around topics, including but not limited to: intersectional care within mental health and disordered eating, the trad wife aesthetic, "clean eating", the different ways neurodivergence can look/ be, shame resilience, and more.The concept of intersectionality describes the ways in which systems of inequality based on gender, race, ethnicity, sexual orientation, gender identity, disability, class and other forms of discrimination “intersect” to create unique dynamics and effects.

Samantha Pockele, MA, MACP (she/her) is a Registered Psychotherapist in Ontario. Sam is a neurodivergent, queer, cisgender woman and a settler with a keen focus on the social determinants of mental health such as race, gender, income inequality, and sexuality. She uses strengths, trauma, and humour-based approaches, and believes that people come to therapy equipped with many of the tools they need to change – sometimes we just have to brush up on the strengths that have carried us this far.

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On today's episode of Hangry Thoughts, Abbey is joined by Nicola Salmon. Nicola (she/her) is the leading voice for fat folks seeking fertility support, bringing a unique fat-positive perspective to her work as a fertility coach and author of the groundbreaking book “Fat and Fertile". She is a prominent figure in the world of fat activism, using her platform and expertise to challenge the weight bias and stigmas that exist within the fertility industry and empower those who are often marginalized to take control of their reproductive health with confidence and self-assurance.

https://nicolasalmon.co.uk/ 

Fat Persons Guide to Getting Pregnant - FREE

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 If you've spent any time on social media, you've probably heard the wellness gurus shouting "these foods are banned in countries outside the U.S!". Lately, more people are discussing chlorinated chicken and if it's safe for humans to consume. In this episode, Abbey shares the research on chlorinated chicken, why it's banned in the UK, and why foods may be "banned". 

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Studies referenced:

The desire to seek weight loss is common in our society, for a multitude of reasons. For many, it’s a form of protection from anti-fat bias. We will discuss the importance of harm reduction in weight loss attempts, while working towards body liberation. In this episode, Abbey discusses why fat isn't a moral failure, diet pills to avoid, reducing harm with Ozempic, the oppressive systems that exist in diet culture, and more.

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