- Joined
- Dec 16, 2019
GLP1 Truth Serum with Virgie Tovar, Episode Four: Anhedonia
TL;DR: Virgie find some soft hands, tiny dick doctor to say the ‘s’ word (STARVATION) in relation to GLP1s, and creams herself to death. She discovers the very common sense concept that starving makes you moody. This dildo of a doctor permits her to claim that any level of caloric restriction is technically starvation and will kill you.
Anhedonia
Anhedonia: is the inability to experience pleasure from activities that were once enjoyable, representing a core symptom of several mental health conditions, including depression, schizophrenia, and bipolar disorder.
Oh my god, who wants to bet that Virgie thinks people are suffering anhedonia in regards to binging on junk food because of taking GLP1s? Unhinged.
Oh today we’re talking about the most important and LEAST discussed effect of GLP1s, their PSYCHIATRIC RISKS!!!!!
Thank god this episode is a mere few minutes shorter than usual.
We have another doctor guest! Thank GOD Virgie has this legion of true and moral doctors who are willing to stand up against the evil Ozempire and speak the truth!
His name is Dr. J. Corey Williams. Let’s do the google fu:
https://psychiatry.georgetown.edu/j-corey-william/
“J. Corey Williams, MD is currently an Assistant Professor in the Department of Psychiatry at Medstar-Georgetown University Hospital. He is a child & adolescent psychiatrist with the Wellness in School Environments (WISE) program, where he helps deliver school-based mental health services for children & families. He is the Director of Mental Health Services Innovation for the Early Childhood Innovation Network (ECIN). He is also co-chair of a national antiracism curriculum initiative entitled, National Anti-Racism in Medicine Curriculum Coalition (NAMCC), which is currently sponsored by the American Board of Psychiatry and Neurology (ABPN)”
Hmm, so another psychiatric wellness for kids type doc, with some history focused on racial bias in medicine… but no links to HAES or FA? I don’t know if I can trust this guy…
He heard about GLP1s through headlines and from celebrities, wooow. Oh but then one day the conversation landed in his clinic!!!!
Welcome back! She says the title of this episode is Starvation States, but listed the episode title as Anhedonia. Wonder why?
Dr. J. Says he just kinda heard about GLP1s like most people, through news and radio, as background noise. Because honestly, if it doesn’t apply to you, who fucking cares? And he’s ’in a smaller body’ as they say, so what could he possibly need to do about it? He remembers hearing Amy Schumer talking about it lol, thought it was a celebrity trend. The American Academy of Pediatrics had apparently released new guidelines on addressing pediatric obesity in 2023, a huge document, with a section which describes consideration for prescribing GLP1s for childhood obesity. His institution apparently hosted some conversations about it after that (Georgetown), and that’s when he started doing his own reading and research.
Maybe about 6 months after, he started having parents coming to him to discuss the mental health implications of the GLP1s, wanting to get a professional opinion (good!), either for themselves OR their kid. So he saw an uptick in interest. He’s working on being more informed still, to have a nuanced opinion, to help people have better informed consent, and at first felt unequipped to do that. He thinks other doctors are feeling that way also.
Virgie pipes up, dragging his colleagues for their utter excitement about using GLP1s (how does she know, did she interview them all?), but highlights that he’s better, he’s different. He can see the blind spots, especially when it comes to children and people with psychiatric conditions.
Dr. J. does think we are underselling some of the risks, and overselling the promises and benefits. (Yeah, that’s American medicine for ya buddy. Ever see the end of a prescription drug commercial when they speedrun potential side effects?) That brought him to question if we’re doing that in practice with kids. He focuses right now on kids with ADHD and mood disorders. (oh good, certainly he can tell us exactly how GLP1s DESTROY your mood regulation, as insinuated in the last episode, right Virgie?) So he has a lot of questions that are unanswered around kids that have previous psychiatric conditions. He wants to make sure we’re not underselling the risks. (Makes it sound like the risks ARE actually known and accounted for, whoops.)
His colleagues do seem enthusiastic around the emerging research, and there’s a lot of money invested in research (are you sure doc, bc Virgie would like us to believe that this is just a diabetes drug that has never been tested for anything else and we’re just using it blindly!). But he also believes there’s another section of the medical community who is concerned about the effect on people with preexisting medical conditions. (As literally EVERY MEDICATION EVER is regarded, Virgie. We always need to think about negative interactions with preexisting disorders. This is, again, NOT NEW.)
He hopes more data comes out about the psychiatric risks. He claims they’re starting to see ER visits for psychiatric concerns involving GLP1s, and more of them being prescribed to people with serious psychiatric conditions, without a strong foundation of research on these variables yet. (A fair observation! Yet I would think any doctor worth their fucking degree would already know to consider these things, and always move forward with high risk patients using caution, consistent observation, and best practice in mind… don’t ya think?)
He’s hopeful that post-market observations from study groups and the FDA will enlighten them to unique side effects they weren’t able to study during testing, as I guess they could find enough fat AND crazy folks to run trials on, and hopefully they can gather that info quickly to see if this is a good option for high risk psychiatric patients. This all seems pretty legit, and his delivery doesn’t give an alarmist vibe. I think he’s literally just describing his experience as a psychiatric specialist who is living through the same process that we all are, and observing the methodology with a healthy amount of reservation when it comes to diagnosing kids and people with severe mental disorders. Cool.
He says the conversation is ongoing, but is concerned that there seems to be a disregard for potential psychiatric risk. He hopes more of the medical community really brings it to the forefront.
Virgie butts in again to remind us that we have been talking about high risk populations throughout this whole podcast season. I hope she doesn’t intend to have a season two, omfg. Naturally she thinks that fat people are their own species and are at risk of being annihilated and manipulated by big pharma, but really, people she talks about are just very mentally unwell people who are vulnerable to snake oil salesmen and also just so happen to be fat. So yeah, Virgie, they’re technically ‘vulnerable populations’. She MUST bring up weight stigma and eating disorders, because she is specialer than all the other anorexics because she’s in a bigger body and her disorder is so much harder.
I actually cried ‘oh my GOD’ out loud at this next part, when she said she just had to ask Dr. J. about his thoughts on THE MINNESOTA STARVATION EXPERIMENT!!!!!!! One of the MOST important studies in MEDICAL HISTORY!!!!!
For those of you who aren’t familiar, this experiment is generally considered unethical and not an accurate representation of the physical and mental responses to actual starvation. The men in the experiment were VERY active every day, so their usual daily intake was upwards of 3500 calories each daily. They were reduced to 1570 per day, and - oh wtf they LOST WEIGHT and thought about food a lot. No way!! And then they allowed the participants, a small, homogenous sample of white men, to fall into refeeding syndrome, where they ate nearly triple their original intake once they were left unmonitored, and some started developing binge eating behaviors. These weren’t permanent, the study didn’t really give us much accurate and deep results, but it is considered one of the groundbreaking eating disorder behavioral studies. I’m probably not making the best summary of it all, but you can find a lot of good reviews about it online, since it’s been around since the fucking 1940s.
Anyway, Dr. J. Literally says he was thinking about what Virgie was ‘alluding to’ when she asked him about the vulnerabilities of certain people with certain psychiatric disorders, lol. That was his polite way of saying oh yeah I know you’re trying to get me to talk about eating disorders and how it’s impossible not to binge once you’ve ‘starved’ yourself in any way. She is so excited to hear him reference the Starvation experiment, which he says explored ‘extreme caloric restriction’, even though it is documented that the restriction was low for the technically very physically active men with a much higher daily need, but not actually within the definition of a starvation diet.
He summarizes the experiment and how in WWII we had to consider for the first time in modern history, how to refeed victims of extreme starvation, so they did the Minnesota Experiment (because it would have been unethical for them to actually starve someone). He says after the starvation period, the men were in ill-health; anemic, metabolic derangements, etc., and they became tired and irritable and didn’t care about much mentally. (Uh, duh?). But he claims this proved that restriction will change your mood and personality. He means an unhealthy, extreme restriction, of course, but we all know that Virgie means restricting yourself from having a HUGE ASS PIECE OF CAKE!
He claims that this loose connection to GLP1s is proving a big potential risk for people with preexisting psychiatric risks! He actually says that being on a GLP1 will create starvation states, which I think is an ethically dishonest admission. I do not believe that HE, or any other non-HAES-deranged doctor thinks that GLP1s turn you into a holocaust victim. Booooooo, shame on you!
Virgie is a genius beyond the scope of our understanding, so she explains it to us plainly: GLP1s impact how much you eat, how much you eat impacts your mood, and if you’re mentally broken and not actively in treatment, you’ll fucking lose your tits and die if you take a glp1!!!!!
She HAS to point out that Dr. J. Is the only idiot she’s interviewed so far who has finally said the ‘s’ word!!!! She’s fucking ecstatic to get this kind of sound bite of course. From personal experience, she can assure us that he is NOT prone to hyperbole, so if he says starvation, it ‘satisfies the clinical definition of starvation’, so FUCK ALL OF YOU VIRGIE IS RIGHT AND ANY KIND OF FOOD RESTRICTION EVER IS MURDER.
She tries to grant more authority to his use of this term, so she asks him again if he would clarify if the word starvation is an extreme use, or an accurate one? She is latched on like a great white with a photographers cage in bloody water, this is the validation she has been clawing at her whole professional life.
He doesn’t think it’s too far of a stretch, in combination with the normal side effects people are reporting. He thinks if you’re eating less than 2000 calories, you’re exposing your body to chronic caloric deficit, and it’s not a stretch to call that starvation. I officially hate this ignoramus now. He thinks she can use that terminology.
Virgie claims that in order for your brain to go into a ‘starvation state’, all you have to do is be in a consistent caloric deficit. I am going to blow my brains out now. Can I get a fact check, please? Some context or supporting evidence for this claim, for the love of god?!
Virgie just needs to know how starvation states affect people who already have holes in their brains, so Dr. J. talks about how GLP1s affect the brains reward systems. God forbid we withhold a mental reward now and again.
But if you already have depression, YOULL FUCKIN DIE!!! They speak on dopamine regulation again. Folks in starvation states have disregulated dopamine systems and experience Anhedonia (roll credits), and not being a total gluttonous lush in every aspect of life is utterly unacceptable for Virgie, so GLP1s are unacceptable for everyone, whether they have depression or actually enter a starvation state or not. Eat shit and die, saddies.
She had to look up Anhedonia, and she is so glad she did, I’m sure. God she loves when a so called doctor proves her fetishes correct. Oh for fucks sake, she is asking us to ONCE AGAIN stop and THINK about this!!! She doesn’t understand how our culture is okay with putting someone through all of this abuse, but SHE is morally superior and does not approve.
Her final question for the doc is if he has EVER seen ANYTHING like this GLP1 FRENZY we’re currently experiencing at any other point in his career?
In 2015, he saw a BIG PUSH for access to medical marijuana and legalization in Connecticut. He said that at that time there was ABSOLUTELY NO EVIDENCE AT THAT TIME of cannabis being beneficial for ANY psychiatric conditions (can I PLEASE get a fact check on this motherfucker???), especially ptsd, which was a qualifying condition. He just felt that no one was putting cannabis through the same exhaustive rigors that they were putting every single other psychiatric medication through at that time. He claims that basically weed was suddenly available to the market, spent a year being in public awareness (because weed is definitely a brand spanking new drug never heard of before the 2010s), and then being prescribed with ABSOLUTELY NO PROOF OR TESTING AT ALL WHATSOEVER. So yeah that was kind of like how we’re treating GLP1s; we were politically pushing decriminalization of weed for political gain and control, so we’re pushing GLP1s for political gain and social control, obviously. (Man fuck this guy.)
Here’s what Virgie’s taking away from this episode: “GLP1s can induce starvation states.” No she will not elaborate or provide evidence for that claim, get fucked. And starvation doesn’t just make you small, it fucks up your brains! Especially if your brains are already fucked up! And we’re going to see soon enough whether or not GLP1s actually exist for medicine, or if it’s just for fat genocide strategy and profit. WE. WILL. SEE!!!!!
Anhedonia: is the inability to experience pleasure from activities that were once enjoyable, representing a core symptom of several mental health conditions, including depression, schizophrenia, and bipolar disorder.
Oh my god, who wants to bet that Virgie thinks people are suffering anhedonia in regards to binging on junk food because of taking GLP1s? Unhinged.
Oh today we’re talking about the most important and LEAST discussed effect of GLP1s, their PSYCHIATRIC RISKS!!!!!
Thank god this episode is a mere few minutes shorter than usual.
We have another doctor guest! Thank GOD Virgie has this legion of true and moral doctors who are willing to stand up against the evil Ozempire and speak the truth!
His name is Dr. J. Corey Williams. Let’s do the google fu:
https://psychiatry.georgetown.edu/j-corey-william/
“J. Corey Williams, MD is currently an Assistant Professor in the Department of Psychiatry at Medstar-Georgetown University Hospital. He is a child & adolescent psychiatrist with the Wellness in School Environments (WISE) program, where he helps deliver school-based mental health services for children & families. He is the Director of Mental Health Services Innovation for the Early Childhood Innovation Network (ECIN). He is also co-chair of a national antiracism curriculum initiative entitled, National Anti-Racism in Medicine Curriculum Coalition (NAMCC), which is currently sponsored by the American Board of Psychiatry and Neurology (ABPN)”
Hmm, so another psychiatric wellness for kids type doc, with some history focused on racial bias in medicine… but no links to HAES or FA? I don’t know if I can trust this guy…
He heard about GLP1s through headlines and from celebrities, wooow. Oh but then one day the conversation landed in his clinic!!!!
Welcome back! She says the title of this episode is Starvation States, but listed the episode title as Anhedonia. Wonder why?
Dr. J. Says he just kinda heard about GLP1s like most people, through news and radio, as background noise. Because honestly, if it doesn’t apply to you, who fucking cares? And he’s ’in a smaller body’ as they say, so what could he possibly need to do about it? He remembers hearing Amy Schumer talking about it lol, thought it was a celebrity trend. The American Academy of Pediatrics had apparently released new guidelines on addressing pediatric obesity in 2023, a huge document, with a section which describes consideration for prescribing GLP1s for childhood obesity. His institution apparently hosted some conversations about it after that (Georgetown), and that’s when he started doing his own reading and research.
Maybe about 6 months after, he started having parents coming to him to discuss the mental health implications of the GLP1s, wanting to get a professional opinion (good!), either for themselves OR their kid. So he saw an uptick in interest. He’s working on being more informed still, to have a nuanced opinion, to help people have better informed consent, and at first felt unequipped to do that. He thinks other doctors are feeling that way also.
Virgie pipes up, dragging his colleagues for their utter excitement about using GLP1s (how does she know, did she interview them all?), but highlights that he’s better, he’s different. He can see the blind spots, especially when it comes to children and people with psychiatric conditions.
Dr. J. does think we are underselling some of the risks, and overselling the promises and benefits. (Yeah, that’s American medicine for ya buddy. Ever see the end of a prescription drug commercial when they speedrun potential side effects?) That brought him to question if we’re doing that in practice with kids. He focuses right now on kids with ADHD and mood disorders. (oh good, certainly he can tell us exactly how GLP1s DESTROY your mood regulation, as insinuated in the last episode, right Virgie?) So he has a lot of questions that are unanswered around kids that have previous psychiatric conditions. He wants to make sure we’re not underselling the risks. (Makes it sound like the risks ARE actually known and accounted for, whoops.)
His colleagues do seem enthusiastic around the emerging research, and there’s a lot of money invested in research (are you sure doc, bc Virgie would like us to believe that this is just a diabetes drug that has never been tested for anything else and we’re just using it blindly!). But he also believes there’s another section of the medical community who is concerned about the effect on people with preexisting medical conditions. (As literally EVERY MEDICATION EVER is regarded, Virgie. We always need to think about negative interactions with preexisting disorders. This is, again, NOT NEW.)
He hopes more data comes out about the psychiatric risks. He claims they’re starting to see ER visits for psychiatric concerns involving GLP1s, and more of them being prescribed to people with serious psychiatric conditions, without a strong foundation of research on these variables yet. (A fair observation! Yet I would think any doctor worth their fucking degree would already know to consider these things, and always move forward with high risk patients using caution, consistent observation, and best practice in mind… don’t ya think?)
He’s hopeful that post-market observations from study groups and the FDA will enlighten them to unique side effects they weren’t able to study during testing, as I guess they could find enough fat AND crazy folks to run trials on, and hopefully they can gather that info quickly to see if this is a good option for high risk psychiatric patients. This all seems pretty legit, and his delivery doesn’t give an alarmist vibe. I think he’s literally just describing his experience as a psychiatric specialist who is living through the same process that we all are, and observing the methodology with a healthy amount of reservation when it comes to diagnosing kids and people with severe mental disorders. Cool.
He says the conversation is ongoing, but is concerned that there seems to be a disregard for potential psychiatric risk. He hopes more of the medical community really brings it to the forefront.
Virgie butts in again to remind us that we have been talking about high risk populations throughout this whole podcast season. I hope she doesn’t intend to have a season two, omfg. Naturally she thinks that fat people are their own species and are at risk of being annihilated and manipulated by big pharma, but really, people she talks about are just very mentally unwell people who are vulnerable to snake oil salesmen and also just so happen to be fat. So yeah, Virgie, they’re technically ‘vulnerable populations’. She MUST bring up weight stigma and eating disorders, because she is specialer than all the other anorexics because she’s in a bigger body and her disorder is so much harder.
I actually cried ‘oh my GOD’ out loud at this next part, when she said she just had to ask Dr. J. about his thoughts on THE MINNESOTA STARVATION EXPERIMENT!!!!!!! One of the MOST important studies in MEDICAL HISTORY!!!!!
For those of you who aren’t familiar, this experiment is generally considered unethical and not an accurate representation of the physical and mental responses to actual starvation. The men in the experiment were VERY active every day, so their usual daily intake was upwards of 3500 calories each daily. They were reduced to 1570 per day, and - oh wtf they LOST WEIGHT and thought about food a lot. No way!! And then they allowed the participants, a small, homogenous sample of white men, to fall into refeeding syndrome, where they ate nearly triple their original intake once they were left unmonitored, and some started developing binge eating behaviors. These weren’t permanent, the study didn’t really give us much accurate and deep results, but it is considered one of the groundbreaking eating disorder behavioral studies. I’m probably not making the best summary of it all, but you can find a lot of good reviews about it online, since it’s been around since the fucking 1940s.
Anyway, Dr. J. Literally says he was thinking about what Virgie was ‘alluding to’ when she asked him about the vulnerabilities of certain people with certain psychiatric disorders, lol. That was his polite way of saying oh yeah I know you’re trying to get me to talk about eating disorders and how it’s impossible not to binge once you’ve ‘starved’ yourself in any way. She is so excited to hear him reference the Starvation experiment, which he says explored ‘extreme caloric restriction’, even though it is documented that the restriction was low for the technically very physically active men with a much higher daily need, but not actually within the definition of a starvation diet.
He summarizes the experiment and how in WWII we had to consider for the first time in modern history, how to refeed victims of extreme starvation, so they did the Minnesota Experiment (because it would have been unethical for them to actually starve someone). He says after the starvation period, the men were in ill-health; anemic, metabolic derangements, etc., and they became tired and irritable and didn’t care about much mentally. (Uh, duh?). But he claims this proved that restriction will change your mood and personality. He means an unhealthy, extreme restriction, of course, but we all know that Virgie means restricting yourself from having a HUGE ASS PIECE OF CAKE!
He claims that this loose connection to GLP1s is proving a big potential risk for people with preexisting psychiatric risks! He actually says that being on a GLP1 will create starvation states, which I think is an ethically dishonest admission. I do not believe that HE, or any other non-HAES-deranged doctor thinks that GLP1s turn you into a holocaust victim. Booooooo, shame on you!
Virgie is a genius beyond the scope of our understanding, so she explains it to us plainly: GLP1s impact how much you eat, how much you eat impacts your mood, and if you’re mentally broken and not actively in treatment, you’ll fucking lose your tits and die if you take a glp1!!!!!
She HAS to point out that Dr. J. Is the only idiot she’s interviewed so far who has finally said the ‘s’ word!!!! She’s fucking ecstatic to get this kind of sound bite of course. From personal experience, she can assure us that he is NOT prone to hyperbole, so if he says starvation, it ‘satisfies the clinical definition of starvation’, so FUCK ALL OF YOU VIRGIE IS RIGHT AND ANY KIND OF FOOD RESTRICTION EVER IS MURDER.
She tries to grant more authority to his use of this term, so she asks him again if he would clarify if the word starvation is an extreme use, or an accurate one? She is latched on like a great white with a photographers cage in bloody water, this is the validation she has been clawing at her whole professional life.
He doesn’t think it’s too far of a stretch, in combination with the normal side effects people are reporting. He thinks if you’re eating less than 2000 calories, you’re exposing your body to chronic caloric deficit, and it’s not a stretch to call that starvation. I officially hate this ignoramus now. He thinks she can use that terminology.
Virgie claims that in order for your brain to go into a ‘starvation state’, all you have to do is be in a consistent caloric deficit. I am going to blow my brains out now. Can I get a fact check, please? Some context or supporting evidence for this claim, for the love of god?!
Virgie just needs to know how starvation states affect people who already have holes in their brains, so Dr. J. talks about how GLP1s affect the brains reward systems. God forbid we withhold a mental reward now and again.
But if you already have depression, YOULL FUCKIN DIE!!! They speak on dopamine regulation again. Folks in starvation states have disregulated dopamine systems and experience Anhedonia (roll credits), and not being a total gluttonous lush in every aspect of life is utterly unacceptable for Virgie, so GLP1s are unacceptable for everyone, whether they have depression or actually enter a starvation state or not. Eat shit and die, saddies.
She had to look up Anhedonia, and she is so glad she did, I’m sure. God she loves when a so called doctor proves her fetishes correct. Oh for fucks sake, she is asking us to ONCE AGAIN stop and THINK about this!!! She doesn’t understand how our culture is okay with putting someone through all of this abuse, but SHE is morally superior and does not approve.
Her final question for the doc is if he has EVER seen ANYTHING like this GLP1 FRENZY we’re currently experiencing at any other point in his career?
In 2015, he saw a BIG PUSH for access to medical marijuana and legalization in Connecticut. He said that at that time there was ABSOLUTELY NO EVIDENCE AT THAT TIME of cannabis being beneficial for ANY psychiatric conditions (can I PLEASE get a fact check on this motherfucker???), especially ptsd, which was a qualifying condition. He just felt that no one was putting cannabis through the same exhaustive rigors that they were putting every single other psychiatric medication through at that time. He claims that basically weed was suddenly available to the market, spent a year being in public awareness (because weed is definitely a brand spanking new drug never heard of before the 2010s), and then being prescribed with ABSOLUTELY NO PROOF OR TESTING AT ALL WHATSOEVER. So yeah that was kind of like how we’re treating GLP1s; we were politically pushing decriminalization of weed for political gain and control, so we’re pushing GLP1s for political gain and social control, obviously. (Man fuck this guy.)
Here’s what Virgie’s taking away from this episode: “GLP1s can induce starvation states.” No she will not elaborate or provide evidence for that claim, get fucked. And starvation doesn’t just make you small, it fucks up your brains! Especially if your brains are already fucked up! And we’re going to see soon enough whether or not GLP1s actually exist for medicine, or if it’s just for fat genocide strategy and profit. WE. WILL. SEE!!!!!
TL;DR: Virgie find some soft hands, tiny dick doctor to say the ‘s’ word (STARVATION) in relation to GLP1s, and creams herself to death. She discovers the very common sense concept that starving makes you moody. This dildo of a doctor permits her to claim that any level of caloric restriction is technically starvation and will kill you.
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