How Weight-Loss Medications Are Quieting Obsessive Food Thoughts

‘An Insatiable Itch’: Why Some People Are Turning to Weight-Loss Medications to Quiet Food Noise

For years, Savannah Mendoza found herself trapped in a cycle of compulsive food cravings, spending much of her paycheck on food delivery apps and fast food drive-thrus. It wasn’t just hunger – it was an overwhelming, obsessive urge to eat. But when Mendoza began taking a popular medication for weight loss, she realized what she had been experiencing: food noise.

What is Food Noise?

Food noise refers to the incessant mental chatter about food that some people experience. It can make it hard to focus on anything other than eating, often leading to poor food choices. Mendoza, like many others, found that medications used for weight loss and diabetes seemed to quiet this constant mental struggle.

Medications like semaglutide (sold as Ozempic and Wegovy) and tirzepatide (sold as Mounjaro and Zepbound) belong to a class of drugs called glucagon-like peptide-1 receptor agonists (GLP-1s). They work by signaling the brain that you’ve eaten, releasing insulin, and slowing the movement of food through your stomach. These drugs are prescribed for type 2 diabetes but have been found to help with significant weight loss as well.

From Obsessive to Peaceful: Personal Stories

Mendoza, 27, started experiencing food noise in her early 20s. She would sneak food in the car or take bites of ice cream while preparing her daughter’s lunch. “I just thought I was obsessed with food,” she says. However, since using tirzepatide, Mendoza describes feeling a sense of peace and control. The constant urge to eat has quieted, and she often feels full or bloated after eating, a side effect of the medication that has helped her regain control.

Summer Kessel, 37, shares a similar story. Before she started taking tirzepatide, she described herself as a “bottomless pit,” constantly planning her next meal or snack, never feeling satisfied. “It was like, suddenly, all of that noise in my brain about ‘what can I eat, where can I eat, how much can I have’ just went silent,” she says. Now, as a registered dietitian, Kessel can focus on eating balanced meals rather than obsessing over food. “I feel appropriately hungry at mealtimes, and I’m no longer thinking about food in terms of cravings or indulgence,” she adds.

The Science Behind Food Noise

Food noise is not just a psychological experience but also has physiological roots. Dr. Michael Lowe, a professor at Drexel University, developed the theory of “hedonic hunger,” which describes the intense desire for food even when you’re not physically hungry. This desire is driven by the pleasure food provides, not by the body’s need for calories.

Lowe suggests that hedonic hunger and food noise are connected. The body’s natural hunger signals are often overridden by an excessive desire for food that goes beyond simple nourishment. This phenomenon has contributed to overeating and weight gain in many people, especially with the food-rich environments we live in today.

The Role of the Environment

The modern food environment plays a significant role in food noise. Fast food restaurants and easily accessible food delivery options make it incredibly tempting to overeat, often leading to a poor relationship with food. Jackson LeMay, who experienced food noise for years, recalls the difficulty of managing cravings while growing up. “It was like a constant, insatiable itch,” he says. Now, after losing 155 pounds with a combination of diet, exercise, and Mounjaro, LeMay notes that he didn’t realize how much food noise affected him until he started the medication.

Dr. Najaf Asrar, an endocrinologist, emphasizes that food noise is fueled by both biological and environmental factors. “We didn’t used to have whole stores devoted to desserts,” he points out, highlighting how food availability has made it easier to give in to cravings. Asrar works with patients using weight-loss medications like GLP-1s in conjunction with lifestyle changes to address both the physiological and environmental aspects of food noise.

Can We Rewire Our Brain to Stop Food Noise?

While medications like GLP-1s have shown promise in reducing food noise, they are not the only solution. Dr. Tom Hildebrandt, director at the Center of Excellence in Eating and Weight Disorders, notes that food noise may be driven by signals from the body that we didn’t fully appreciate before. These signals can affect how we perceive hunger and fullness, as well as our body image.

At his center, Hildebrandt and his team use cognitive behavioral therapy (CBT) to help patients manage food noise. This treatment helps individuals inoculate themselves against the “toxic food environment” and teaches them how to regulate their appetite. For many, this therapy helps reduce food noise and enables them to approach life more functionally.

While GLP-1s can offer relief for some, Hildebrandt cautions that medications may come with their own challenges. For example, some users may develop a fear of eating certain foods or overeating due to the uncomfortable physical sensations caused by the drugs. Still, for those who struggle with food noise, these medications can offer significant relief and help individuals regain control.

The Impact of GLP-1 Medications

GLP-1 medications like Wegovy and Zepbound are not specifically designed to treat food noise, but many users report a dramatic reduction in mental chatter surrounding food. Lowe, the researcher, explains that these medications target the underlying physiology of excessive appetite, changing the chemical pathways in the brain that drive food cravings. As a result, users experience less frequent and less intense thoughts about food, making it easier to make healthier choices.

LeMay, who continues to use Mounjaro to maintain his weight, says that the medication has helped him shift from living to eat to eating to live. “I’m eating because I need to nourish my body, not because I need to satisfy a craving,” he says. This shift in mindset has improved his relationship with food and his overall health.

Conclusion

Food noise can be a challenging and overwhelming experience for many, making it hard to focus on anything other than food. However, medications like GLP-1s, along with lifestyle changes and therapies like CBT, offer hope for those struggling with this issue. By addressing both the physiological and psychological aspects of food noise, individuals can regain control over their eating habits and improve their relationship with food. While GLP-1s are not a cure-all, they have provided many with a sense of peace and clarity, allowing them to focus on nourishing their bodies rather than battling obsessive thoughts about food.

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