Cultural hype, control, and GLP-1 realities

Welcome to 2026, where it suddenly feels harder than ever to talk about menopause, health, and nutrition without the conversation getting hijacked by weight loss. In this longer-than-usual episode, I’m joined by family physician and writer Dr. Mara Gordon (who proudly describes herself as an “anti-diet doctor”) to talk about the question that's been on my mind lately: Is a weight-neutral menopause still possible?

Mara and I unpack what weight neutrality actually means in real-world healthcare, why the “weight loss fixes everything” narrative has gotten louder again, and whether GLP-1 medications can fit into an informed, values-based, body-autonomy-first approach to care.

In this episode, we talk about:

• What I mean by “weight neutral” (and why it’s not the same as “anti-weight loss”)
• Why menopause weight changes can create so much urgency, fear, and pressure
• How to support weight-neutral conversations even when cholesterol, blood sugar, or blood pressure change
• The “Mediterranean pattern,” and why nutrition strategies can help without turning into restriction
• GLP-1s: what they can do well (and what they cannot do)
• Why a lot of expectations about weight loss are shaped by culture, not medicine
• Why “I want to avoid meds” is often about something deeper than the medication

About my guest, Dr. Mara Gordon
Dr. Mara Gordon is a family physician in Camden, New Jersey. She’s also a writer, including NPR’s Real Talk with a Doc column, and she writes a Substack newsletter called Your Doctor Friend, about healthcare being a mess and how we can figure it out together. She’s also working on a book about diet culture and medicine, expected in 2027.

Links & resources

• Dr. Mara Gordon’s Substack: Your Doctor Friend
• NPR column: Real Talk with a Doc
• My website + free resources + coaching: menopausenutritionist.ca

If this episode hit home
Share it with a friend who’s feeling the pressure to “fix” her midlife body. And if you have a question you want me to tackle on a future episode, send it my way.

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