The Curbsiders Internal Medicine Podcast #504: Adult Eating Disorders in the GLP-1 Era
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Nov 10, 2025 
Dr. Laura M. Bridge, an internal medicine physician specializing in eating disorders, delves into the complexities of GLP-1 medications. She explores how these drugs can both aid and harm individuals with eating disorders, emphasizing risks like inappropriate use. Key topics include recognizing red flags in primary care, the importance of sensitive conversations, and the nuanced relationship between weight loss and health. Dr. Bridge advocates for a multidisciplinary treatment approach while warning against transitioning to restrictive eating behaviors.
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Ask Permission And Goals First
- Ask why the patient started a GLP-1 and what their goals before refilling the medication.
- Seek permission to discuss eating, weight, and dieting to avoid judgment and build rapport.
ARFID Vs. Anorexia Explained
- ARFID differs from anorexia because restriction stems from sensory issues or fear, not body image.
- Both ARFID and anorexia produce similar medical complications from malnutrition.
Screening Tools Are A Starting Point
- Use brief primary care screens like SCOFF or the Eating Disorder Screen for Primary Care to flag concerns.
- Rely on clinical judgment when screens conflict, and refer if suspicion remains high.
