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Editor's E-Note
Looking Ahead
Before jumping into this issue of the newsletter, I want to briefly say “Hello” as the new editor of Today’s Dietitian. I’ve been writing for TD since 2015, and have presented a handful of webinars and Spring Symposium talks, so it’s exciting to step into this new role. Turning back to content, dietitians in almost every clinical niche are seeing clients who are taking a GLP-1 medication for weight loss—even if they don’t work in weight management. In this month’s E-News Exclusive, we share some of the essentials for offering nutrition support to these clients, and discuss how some challenges they face are similar in many ways to challenges any of our clients might face.
After reading the article, visit TD’s website at www.TodaysDietitian.com to read the digital edition of our May/June issue, featuring our cover story—which I happened to write—bringing further attention to a misunderstood and underdiagnosed women’s health issues, “The Role of Nutrition in Endometriosis.” You’ll also find features on how emulsifiers might influence multiple aspects of gut health, ways to promote agricultural resilience, and interdisciplinary insights for RDs in light of the new government requirements for including more nutrition in medical education.
Please enjoy the E-Newsletter and give us your feedback at TDeditor@gvpub.com, and don’t forget to like us on Facebook and follow us on X, formerly known as Twitter.
— Carrie Dennett, MPH, RDN, editor |
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| In This E-Newsletter
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Need to Know Nutritional Considerations for GLP-1s
By Carrie Dennett, MPH, RDN
As the number of people taking GLP-1 medications for diabetes or weight loss increases, more dietitians—including those who don’t specifically work in weight or diabetes management—will see these individuals in their offices or reaching out for consults. They may be seeking nutrition counseling related to their GLP-1 use, or they may simply have a different nutrition-related concern.
While some patients are prescribed these medications by providers or clinics that provide a comprehensive evaluation and follow-up, this is not always the case for those using GLP-1s for weight loss. Many users obtain these medications from online compounding pharmacies or other online vendors that don’t require direct communication with a clinician. The “microdosing” trend on social media encourages use of these medications for weight loss in individuals with a “normal” or even low BMI.1
There’s no research looking at the nutrition habits of free-living humans taking GLP-1s for weight loss—or for diabetes, for that matter—but anecdotally we know some people on these medications falsely believe that because they’re losing weight or managing their blood sugar, nutrition and physical activity don’t matter. That couldn’t be further from the truth. This is where dietitians in almost any area of clinical or private practice can put their nutrition science and behavior change skills to work.
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Monell Center Researchers Find Fructose Sends a Weaker ‘I’m Full’ Signal to the Brain Than Glucose
Researchers at the Monell Chemical Senses Center found that common dietary sugars fructose and glucose, despite having the same amount of calories, communicate with the brain through different gut-brain pathways, a difference that may help shape our food and beverage preferences.
In mice, the team identified a dedicated gut-brain signaling pathway through which fructose communicates with the brain and found that it is much less effective than glucose in turning down the activity of hunger-related neurons.
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Social Inequality Is Linked to Faster Biological Aging
A study conducted by the Biosocial team at Max Planck Institute for Human Development, in collaboration with Columbia University in New York, demonstrates that social inequality, such as poverty and racism, are related to biological aging measured in the epigenome, also known as “epigenetic clocks.” Epigenetic clocks analyze patterns of chemical marks on DNA to estimate a person’s biological age or the rate at which their body is aging. These tools are increasingly used by scientists to study how environmental exposures, lifestyle, and social conditions affect health across the life course.
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CPE Monthly
In the May/June issue of Today’s Dietitian, take an in-depth dive into GLP-1 receptor agonists and injectables used for weight management. Read the CPE Monthly article, take the 10-question online test at CE.TodaysDietitian.com/CPEmonthly, and earn two CPEUs!
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In the July/August Issue
• Reframing Weight Maintenance After Weight Loss Medications
• Family-Based Treatment in Pediatric Eating Disorder Care
• The Athlete Paradox
• TD 2026 Spring Symposium Wrap-Up |
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COVER STORY
The Role of Nutrition in Endometriosis
Certain dietary patterns may reduce symptom severity by reducing inflammation and modulating hormone levels. RDs with expertise share clinical wisdom for patients diagnosed with this challenging condition.
FEATURE
Interdisciplinary Care Starts Here
Dietitians can complement medical resident training through educating up-and-coming providers about the clinical necessity of nutrition therapy, modeling collaborative care, and reinforcing the value of referrals to nutrition experts.
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