From the book GLP-1 Journeys

Becoming someone new.

Your body can change in months. Your sense of self follows a beat behind.

Cover of GLP-1 Journeys: From Treatment to Transformation, by Thomas Rutledge, PhD

The book · 2026

GLP-1 Journeys

From Treatment to Transformation: The Psychology of GLP-1 Medicines

The scale was moving for them. But the self was not keeping up. This book was written for all the people trying to close this gap.

From the author's note

Plenty of books cover dosing, side effects, and protein targets. This one covers what GLP-1 medicines do to the rest of you: your sense of who you are, your relationship with food, the people closest to you, your body image, and your mental health. It isn't a medical guide or a weight-loss program. The medicine handles that. This book addresses what the medicine can't.

What's inside

A map for the inside of the journey

Ten chapters follow the full psychological arc, from the first doubts to a vision for the life ahead. Each ends with a Pause and Reflect question.

  1. PrologueThe Part Nobody Warned You About
  2. Chapter 1This Time Is Biologically Different
  3. Chapter 2The Silence of Food Noise
  4. Chapter 3The Shame and Stigma Journey
  5. Chapter 4Who Am I Becoming? The GLP-1 Identity Journey
  6. Chapter 5Relationships in Transformation
  7. Chapter 6Your Changing Relationship with Food
  8. Chapter 7Body Image on the GLP-1 Journey
  9. Chapter 8Mental Health and GLP-1
  10. Chapter 9The Long Game: Maintenance, Dependency, and the Fear of Stopping
  11. Chapter 10Your GLP-1 Vision

Five companions

People on the same road

Composites drawn from clinical practice and real people's GLP-1 journeys. Two of them travel with you through every chapter.

Rosa

Retired postal carrier · 18 months in

Thirty-four years of walking routes. Then one Sunday morning, the noise simply stopped.

Diane

Nurse · 14 months in

She teaches the biology to her own patients. Believing it about herself is the harder part.

Marcus

High school coach · 7 months in

Researched it like a training decision. Now sitting with the difference between privacy and shame.

Jordan

Designer · 5 months in

Tracked everything from week one. The thing that surprised her most was never on the spreadsheet.

Amara

School counselor · 8 months in

She knows exactly what internalized stigma is. She teaches it. It still took two months.

Pause and reflect · from the prologue

What has surprised you most about your GLP-1 journey so far? Not the number on the scale. What it has felt like on the inside.

Coming soon · Companion app

Take the book into your week

The companion app will turn GLP-1 Journeys into a daily practice. It's in beta now, shaped by several rounds of feedback from people using these medicines.

  • A daily check-in, with words for the kind of day you're having
  • A food noise tracker that shows your trend over time
  • The Food Noise Self-Assessment, to repeat at three and six months
  • Each chapter in short sections, with Pause and Reflect prompts
  • Clear guidance on when to reach for more support

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