Thinking About GLP-1 Medications? A Weight-Inclusive Dietitian's Perspective

By Anne Wilfong, RD | Wilfong Nutrition LLC | Austin, Texas

In recent years, GLP-1 receptor agonists—such as Ozempic, Wegovy, and Mounjaro—have become some of the most talked-about medications for diabetes management, insulin resistance, and weight loss. At Wilfong Nutrition, our team of registered dietitians in Austin, Texas is asked regularly how we support clients who are considering, currently using, or discontinuing a GLP-1 medication.

Our answer is always the same: compassionate, individualized care that aligns with your values—not a number on a scale.

What Are GLP-1 Medications?

GLP-1s (glucagon-like peptide-1 receptor agonists) are medications that mimic a naturally occurring hormone in the body. They work by influencing blood sugar regulation, insulin secretion, and appetite signaling. Common GLP-1 medications include:

  • Ozempic / Wegovy (semaglutide) — originally developed for type 2 diabetes, now widely prescribed for weight management

  • Mounjaro / Zepbound (tirzepatide) — a newer dual-action medication

  • Victoza / Saxenda (liraglutide) — an older GLP-1 option still in use

At Wilfong Nutrition, we don't view these medications as inherently good or bad. What matters to us is creating space for clients to honestly discuss their feelings, concerns, and experiences with these drugs—free from judgment.

GLP-1s, Diet Culture, and the Need for Safe Spaces in Austin and Beyond

The current media hype around GLP-1 medications often reinforces the harmful notion that thinner is always better. As a weight-inclusive dietitian practice serving Austin, Texas and clients across the state,we push back against that narrative every day. People in all bodies deserve respectful, evidence-informed care—whether they choose to use GLP-1 medications or not.

Many of our clients tell us they feel caught between two extremes: medical providers who focus solely on weight loss numbers, and wellness spaces that shame medication use altogether. We aim to be different—a weight-neutral, shame-free environment where every choice is met with empathy and clinical expertise.

Our Dietitian-Led Approach to GLP-1 Support

We work with clients who have been prescribed GLP-1 medications—always from a place of respect and curiosity, never shame. Here's what that looks like in practice:

We Focus on Nourishment, Not Restriction
GLP-1 medications can significantly affect appetite and, in turn, overall nutritional intake. It's common for clients on these medications to eat far less than their bodies need, which can lead to nutrient deficiencies, muscle loss, and fatigue. Our dietitians provide personalized nutrition education to help you continue nourishing your body adequately, even when hunger cues are blunted.

We Address the Emotional and Social Sides of Eating
Food is more than fuel—it's culture, connection, and comfort. Clients on GLP-1 medications sometimes grieve a changed relationship with food, or feel pressure that the medication will "fix" everything. It won't—and that's okay. We provide space to explore those emotional layers and find new ways to experience joyful, satisfying eating.

We Support Clients Who Stop GLP-1 Medications
Many clients discontinue GLP-1 medications due to cost, side effects, or insurance changes. That transition can feel scary. We walk alongside clients through fears about weight changes and health shifts, while continuing to support a sustainable, peaceful relationship with food.

We Believe in Autonomy and Informed Choice
Whether you choose to start, continue, or stop a GLP-1 medication, our role is to educate—not persuade. Your health journey is personal. We're here with tools, insight, and unwavering support for your values-aligned decisions.

Frequently Asked Questions About GLP-1s

Do I need to see a dietitian if I'm on a GLP-1 medication?
While it's not required, working with a registered dietitian alongside your prescribing provider is highly recommended. GLP-1s can suppress appetite significantly, and many clients need help ensuring they're meeting their protein, fiber, and micronutrient needs. A dietitian can also help you navigate the emotional aspects of changing your relationship with food.

Does Wilfong Nutrition work with clients virtually?
Yes! We offer telehealth nutrition counseling for clients across Texas, so you don't have to be in the Austin area to work with us. We also see clients in person at our Austin, TX office.

Do you accept insurance for GLP-1 nutrition counseling?
We accept many insurance plans for nutrition counseling. Visit our insurance page to check coverage, or contact us for a benefits verification.

I don't want to be judged for being on Ozempic. Is Wilfong Nutrition a safe place?
Absolutely. Our practice was built on weight-inclusive, non-diet principles. There is no judgment here—only curiosity, care, and collaboration.

Ready to Work With a GLP-1-Informed Dietitian in Austin, TX?

At Wilfong Nutrition, we believe every person deserves care that honors their body. Whether you're considering a GLP-1 medication, currently taking one, or navigating life after stopping, we're here to help you reconnect with food, tune into your body's signals, and build a life guided by your values—not the scale.

Schedule a consultation with our Austin, Texas registered dietitian team today. We'd love to support you.

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Nourishing your Body Beyond Weight: Embracing Gentle Nutrition

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Breaking Free from Restrictive Dieting: A step toward Sustainable Health