The GLP-1 Follow-Up: Side Effects, Microdosing & Ozempic Culture | Ep 411
The Funk'tional Nutrition Podcast
Erin Holt
4.8 • 788 Ratings
🗓️ 26 May 2026
⏱️ 48 minutes
🧾️ Download transcript
Summary
Ozempic culture is officially here, and after last week’s GLP-1 episode with Jessica Brown, Erin has more to say.
This time, she’s getting into the side effects practitioners are seeing and the “microdosing” marketing language that’s gotten wildly out of hand. Erin talks about the difference between using GLP-1s skillfully vs. going a little willy nilly with telehealth prescriptions, and people chasing quick weight loss without understanding what’s happening physiologically.
This is an important “part 2” conversation around why these medications can be an incredibly effective tool… while still requiring education, self-awareness, support, and a whole lot more nuance than the internet shows.
In this episode:
- Why Erin thinks we’re wildly underprepared to use GLP-1s correctly
- What “Ozempic culture” gets right… and where the conversation completely misses the mark
- “Food as skinny vs. food as fuel” and why micronutrients matter more than ever if you’re on a GLP-1
- How Erin’s client used tirzepatide without jumping to higher and higher doses
- The GLP-1 side effects Erin is seeing most often, including SIBO flares and reflux
Resources mentioned:
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Episode 410: GLP-1s Are Not Just About Weight Loss with Jessica Brown
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https://www.thefunktionalnutritionist.com/podcast/411-glp-1-followup
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Transcript
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| 0:00.0 | GLP-1 agonist delay gastric emptying. That is one of the big things that they do, and this makes you feel fuller, longer. This is why they have an appetite suppressant effect. But what can also happen is that you can be really, really nauseous. We can even see vomiting. We can see acid reflux. We can see |
| 0:21.7 | diarrhea. We can see constipation. If you are delaying gastric emptying, if you are delaying G-I-emptying, |
| 0:30.3 | then of course, it just makes sense that we would see those effects. Now, this can cause a lot of |
| 0:36.5 | problems if you already have gut issues. And some red |
| 0:40.3 | flags or careful considerations I would be thinking about is if you have a history of SIBO, small |
| 0:47.3 | intestinal bacterial overgrowth. There is a tendency for it to get a lot worse if you are on gLP ones. Welcome to the functional nutrition |
| 0:56.1 | podcast, spell it with a K, because we do things a little differently around here. I'm your |
| 1:00.3 | host, Erin Holt, and I've got 15 years of clinical experience as a functional nutritionist |
| 1:04.4 | and mindset coach, creating a new model that I call intuitive functional medicine, where we combine |
| 1:09.7 | root cause medicine with the innate |
| 1:11.5 | intelligence of your body. This is where science meets self-trust. Your body already knows how to heal, |
| 1:18.4 | and this show is going to show you how. If you're looking for new ways of thinking about your health, |
| 1:23.1 | be sure to follow and share with a friend because you never know whose life you might change. |
| 1:29.0 | Hello, everybody. We're going to talk more about GLP-1s today. Last week, we had Jessica |
| 1:33.8 | Brown on the show to talk about GLP-1s. I really hope you enjoyed that episode. I swear this is |
| 1:39.1 | not becoming like a peptide or GLP-1 podcast, but I do want to follow up with last week's episode with some more |
| 1:47.5 | information for you guys, some more education, and some more considerations if you are |
| 1:52.8 | thinking through a GLP1 or you're currently on them. Now, at the time of this episode release, |
| 1:58.2 | my clinical team and I are in San Diego for the IFM conference. |
| 2:01.9 | I'm super excited. I'm recording this, obviously, before we're there, very excited about it. |
| 2:05.9 | One thing that is really important to us here at the functional nutritionist is to make sure |
| 2:10.9 | we are on top of our continuing education. So I'm flying the clinical team out to California. |
... |
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