loader from loading.io

Episode 212: Dr. Marty Lerner

Food Junkies Podcast

Release Date: 01/15/2025

Episode 232: Clinicians Corner - The Hidden Challenges of PAWS in Food Addiction Recovery show art Episode 232: Clinicians Corner - The Hidden Challenges of PAWS in Food Addiction Recovery

Food Junkies Podcast

In this insightful and compassionate episode, Clarissa and Molly take a deep dive into post-acute withdrawal syndrome (PAWS)—an often overlooked but critical phase in ultra-processed food addiction recovery. While well-known in substance use disorder recovery, PAWS is rarely discussed in the context of food addiction, yet it shows up in significant ways. Clarissa and Molly break down what PAWS is, why it happens, and how it can show up months or even years into recovery. They share real client experiences, neurobiological explanations, and clinical insights—plus, they normalize what can...

info_outline
Episode 231: Dr. Filippa Juul "Ultra-Processed Food: The Hidden Crisis"

Food Junkies Podcast

In this illuminating episode we speak with Dr. Filippa Juul. An epidemiologist and leading researcher on the impact of ultra-processed foods (UPFs) on human health. Together, we unpack what ultra-processed really means, why it's not just about calories or macros, and how these foods are stealthily contributing to the global rise in obesity, chronic illness, and food addiction. Dr. Juul  is Assistant professor at the School of Public Health at SUNY Downstate Health Sciences University. She earned her PhD in Epidemiology from NYU GPH in 2020, following a MSc in Public Health Nutrition from...

info_outline
Episode 230: Dr. Cynthia Bulik show art Episode 230: Dr. Cynthia Bulik

Food Junkies Podcast

Dr. Cynthia Bulik is a clinical psychologist and one of the world's leading experts on eating disorders. She is the Founding Director of the University of North Carolina Center of Excellence for Eating Disorders and also the founder director of the Centre for Eating Disorders Innovation at Karolinska Institutet in Stockholm, Sweden. Dr. Bulik is Distinguished Professor of Eating Disorders in the Department of Psychiatry at UNC, Professor of Nutrition in the Gillings School of Global Public Health, and Professor of Medical Epidemiology and Biostatistics at Karolinska Institute.  Dr Bulik...

info_outline
Episode 229: Dr. Alexandra Sowa, MD The Ozempic Revolution show art Episode 229: Dr. Alexandra Sowa, MD The Ozempic Revolution

Food Junkies Podcast

Dr. Alexandra Sowa, MD is a board-certified physician specializing in internal medicine and obesity medicine. A graduate of Johns Hopkins University, NYU School of Medicine, and Yale University, Dr. Sowa combines top-tier medical training with a deeply compassionate, evidence-based approach to metabolic health. She is the founder and CEO of SoWell Health, a telehealth and clinical service dedicated to treating metabolic dysfunction with personalized nutrition, lifestyle interventions, and medication when appropriate—including the use of GLP-1 receptor agonists like Ozempic. Dr. Sowa is the...

info_outline
Episode 228: Dr. Thomas Seyfried - Cancer as a Metabolic Disorder show art Episode 228: Dr. Thomas Seyfried - Cancer as a Metabolic Disorder

Food Junkies Podcast

In this compelling episode, Dr. Vera Tarman interviews Dr. Thomas Seyfried, a pioneer in the field of cancer metabolism. Dr. Seyfried challenges the mainstream view of cancer as a genetic disease and presents strong evidence that cancer is fundamentally a mitochondrial metabolic disorder. Dr. Thomas N. Seyfried is a distinguished American biologist and professor at Boston College, renowned for his pioneering work in cancer metabolism. With a Ph.D. in Genetics and Biochemistry from the University of Illinois, Urbana, and postdoctoral training in neurochemistry at Yale University School of...

info_outline
Food Junkies Recovery Stories Episode 26: Joy M show art Food Junkies Recovery Stories Episode 26: Joy M

Food Junkies Podcast

In this powerful and heartfelt episode of the Food Junkies Recovery Stories CJ sits down with Joy M, who shares her courageous story of unraveling the illusion of the “perfect life” to find true recovery and emotional freedom. From childhood trauma and food obsession to substance use, codependency, and the sneaky nature of sugar addiction, Joy takes us through the winding—and at times wild—path she walked to reclaim her health and voice. Tune in to hear how one Easter basket sparked a lifetime pattern, how trauma flipped the switch, and how Joy finally broke free through community,...

info_outline
Episode 227:  Clinician’s Corner - Recovery Is a Lifestyle, Not a Lifeboat – Maintaining Long-Term Recovery show art Episode 227: Clinician’s Corner - Recovery Is a Lifestyle, Not a Lifeboat – Maintaining Long-Term Recovery

Food Junkies Podcast

In this episode of Clinician’s Corner, Molly and Clarissa explore the often-overlooked realities of long-term recovery. While many recovery programs focus on the acute phases and early abstinence, sustainable recovery demands much more—it asks us to renovate our lives. Drawing from the latest research—including insights from Harvard’s Recovery Research Institute and their own published study on food addiction outcomes—they break down the average 17-year journey toward stable remission and emphasize that recovery is a process, not a finish line. 🧠 Topics include: The 3 stages of...

info_outline
Episode 226: Dr. Jen Unwin on Consensus, Recovery Outcomes, and the Future of Food Addiction Treatment show art Episode 226: Dr. Jen Unwin on Consensus, Recovery Outcomes, and the Future of Food Addiction Treatment

Food Junkies Podcast

In this episode of Food Junkies Podcast, Molly and Clarissa sit down with clinical psychologist, researcher, and international food addiction advocate Dr. Jen Unwin to unpack a trifecta of groundbreaking developments in the field of Ultra-Processed Food Use Disorder (UPFUD). If you’ve been craving science-backed insight, real recovery stories, and practical hope for the future, this conversation delivers. Together, we explore: 🧠 Two Major Research Milestones • The Delphi Consensus Paper, which brings together 40 global experts to define and validate Ultra-Processed Food...

info_outline
Episode 225: Dr. Vera Tarman & Bitten Jonsson Reflect on Food Addiction Recovery show art Episode 225: Dr. Vera Tarman & Bitten Jonsson Reflect on Food Addiction Recovery

Food Junkies Podcast

In this extraordinary episode, Food Junkies host Dr. Vera Tarman turns the mic on herself—joined by Swedish trailblazer Bitten Jonsson—for a deeply personal, no-holds-barred conversation on their parallel journeys through food addiction, recovery, and advocacy. With over 60 years of combined experience in addiction medicine, Vera and Bitten walk us through the moments they first recognized their struggles with food and sugar, the evolving science of addiction, and how their professional paths have shaped the global conversation around Ultra-Processed Food Addiction. 💡 What You’ll Hear...

info_outline
Episode 224: Dr. Eike Buabang - Breaking the Habit Loop: How Our Brains Build—and Battle—Behavior Patterns show art Episode 224: Dr. Eike Buabang - Breaking the Habit Loop: How Our Brains Build—and Battle—Behavior Patterns

Food Junkies Podcast

In this powerful and timely conversation, we welcome Dr. Eike Buabang, cognitive neuroscientist and Postdoctoral Research Fellow at Trinity College Dublin, to explore one of the most fundamental yet overlooked topics in recovery: habits. Dr. Buabang studies the brain mechanisms behind habit formation—why we repeat behaviors even when they no longer serve us, and how stress, repetition, and environment shape our choices. Drawing from both neuroscience and real-world applications, he offers practical insights into how we can intentionally disrupt compulsive patterns and support lasting...

info_outline
 
More Episodes

Today, we are thrilled to have Dr. Marty Lerner return to the podcast. Dr. Lerner is the Executive Director of the Milestones in Recovery Eating Disorders Program and a licensed, board-certified clinical psychologist. He has been a pioneering voice in understanding the complex overlap between eating disorders, food addiction, and the emerging use of GLP-1 receptor agonists. His insights have been featured in professional journals, major newspapers like USA Today and The Wall Street Journal, and national television programs including 20/20, NPR Report, and Nightline. He is also the author of A Guide to Eating Disorder Recovery, available as a free eBook on the Milestones program website.

In this episode, Dr. Lerner shares his expert perspective on the evolving conversation around eating disorders, food addiction, and the growing use of GLP-1 medications. We explore their mechanisms, clinical implications, and the ethical considerations surrounding their use in treatment.

What We Cover in This Episode:
State of the Field: Changes in the Last Three Years
• How has the intersection of eating disorders and food addiction evolved?
• Has there been more collaboration between these fields?
 
GLP-1 Receptor Agonists: A Game-Changer or a Concern?
• Dr. Lerner's initial reaction to GLP-1s and whether his perspective has shifted.
• Understanding their mechanisms: insulin sensitivity, delayed gastric emptying, weight loss, and craving reduction.
 
How GLP-1s Impact Cravings and Satiety
• How do GLP-1 receptor agonists manage cravings and reduce binge-eating behaviors?
• How do they influence hunger and satiety signals in the brain?
 
Clinical Insights and Considerations
• What major changes has Dr. Lerner witnessed in his clients using GLP-1s?
• Who benefits most from these medications? Who should avoid them?
• Are GLP-1s safe for individuals with eating disorders?
• Can they be used safely for food addiction?
• Are there contraindications for individuals with underlying mental health conditions like anxiety and depression?
• Do these medications address emotional/psychological components of food addiction?
 
Potential Side Effects and Long-Term Considerations
• What are the most concerning side effects?
• How do they affect thyroid function, sex hormones, and overall hormonal balance?
• Is there evidence of metabolic downregulation or tolerance with prolonged use?
• How has the widespread use of these medications changed Dr. Lerner’s therapeutic practice?
 
Advice for Clinicians and Patients
• What should clinicians consider when prescribing or recommending GLP-1s?
• What should patients know before deciding to use them?
 
Looking Ahead: Hopes and Concerns
• What are Dr. Lerner’s hopes for the future of GLP-1s in treatment?
• What concerns does he have about their long-term impact?
• His ongoing work and research in the field.
• His advice to his younger self about GLP-1 medications.
 

Thank You for Listening! We’re grateful to have you on this journey. Remember: Recovery is about progress, perseverance, and connection. You’ve got this! 💪

The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.