There is a phrase I have been hearing more and more recently: food noise or food chatter. It describes something that can be difficult to explain if you have never experienced it—the persistent mental chatter about food. It’s a real thing, scientifically called “food cue sensitivity.” So my regular thoughts usually go something like this:
What am I going to eat next?
Should I have something sweet?
I’m not really hungry, but I feel like eating.
I’ve been good today, so maybe I can have this.
I shouldn’t eat that.
What time is lunch?
Perhaps I’ll just have one.
Maybe tomorrow I’ll start again.
For some people, food isn’t simply something they eat when they are hungry. It can occupy a surprisingly large amount of mental space as I have just recently found out! I have always had those thoughts in my head until I recently started taking the medication Mounjaro (Tirzepatide) for weight loss. I woke up the day after my first injection to a silence in my mind like someone had turned down the volume on my inner voice.
I really wasn’t planning on talking or writing about this weight loss experiment on myself out of a sense of shame or maybe embarrassment. My decision to start these weight loss injections was more out of concern for my health rather than numbers on the scales or clothing size. I have always been above what is consider an ideal weight for my height and joined Weight Watchers after my pregnancy. I got down to my suggested goal weight but it was not sustainable and the program did little to support me maintain my ideal weight. I was literally ‘white knuckling’ it the whole time and my mood was miserable and/or very irritable. Gradually the weight stacked back on over the last several years and despite walking daily, doing yoga/pilates and generally eating well, as I get closer to 60 than 50 next month it felt impossible to lose weight let alone stop the increase.
I have never been too concerned about how I look and embraced the whole body positivity movement that even had an impact on the world of yoga. That said I have often felt an imposter or judged as a plus size yoga teacher, I really do not fit the stereotype. But there is no doubting that carrying extra weight does not support good health as you age, it is adding extra strain on my joints, increasing my blood pressure and my snoring has got worse apparently! So despite having many misgivings about taking this type medication I decided to consult a GP and at least see if it may give me some support in losing some weight.
I did my research and was prepared for the potential side effects, stocked up on protein and started the process on a weekend in case needed to rest, was nauseous or needed to stay close to the bathroom! Well so far none of those negative side effects only one positive yet very unexpected side effect – the silence in my mind. It was like the volume had been turned down, the constant chatter around food became quieter. I was not expecting that and it was not until the thoughts were silenced or turned down that I realised how intrusive they were.
Mounjaro works partly by acting on the hormone pathways involved in appetite and food intake. The result isn’t simply that someone has to exercise more willpower. Apparently for many people, the internal drive to eat, and particularly the urgency or preoccupation around food, seems to become less intense. It can feel less like “I must have that” and more like “I could have that, but I don’t really need it.” I went to the shops this afternoon to get some milk and normally the chatter in my mind leads to the confectionery aisle which then leads to a full on conversation in my head about whether I should and which chocolate bar I should treat myself with. Well today there was none of that, the chocolate bars so conveniently placed at the checkout were there, I saw them, acknowledged them and had no urge to buy one.
This change is a profound revelation for me because when the noise was loud, making a different choice required enormous mental effort. When the noise became quieter, there was suddenly some space. That space is so far one of the most interesting opportunities this GLP-1 medication has created for me so far. Not simply the opportunity to eat less but the opportunity to notice more. The space between thought and action
As a yoga and meditation teacher this is where I see an intriguing connection with meditation that for some reason I had not contemplated previously. One of the fundamental practices of mindfulness meditation is learning to notice what is happening without immediately reacting to it:
A thought arises.
A sensation arises.
An emotion arises.
And rather than automatically following it, we learn to pause and observe:
There is a thought.
There is a feeling.
There is an urge.
We don’t have to become the thought or obey the urge. This is sometimes described as decentering, recognising that we are the observer of our thoughts rather than being defined by them. Interestingly, recent research into mindfulness and food cravings has found that mindfulness-based interventions can reduce the intensity of food cravings, although the evidence is still developing and does not suggest that mindfulness eliminates cravings altogether.
So an interesting thought also occurred to me, on the flip-side, could Mounjaro also make meditation easier? (A caveat here, I am in no way suggesting that GLP-1 medication should be used for this purpose but it could be a beneficial side effect!) For someone whose mind has been persistently occupied by food thoughts, sitting quietly and turning attention inward may not always feel particularly peaceful. The mind wanders:
What am I going to eat later?
Should I have something when meditation finishes?
And then there is the frustration of trying not to think about something which, of course, usually makes us think about it even more. (Please don’t think about monkeys!) If a GLP-1 medication reduces some of that background food preoccupation, meditation may become a little easier. Not because the medication is creating mindfulness. Rather, it may be turning down one source of mental noise, making it easier to practise the skill of awareness.
That distinction matters because medication may quiet the noise however meditation can teach us how to relate differently to whatever noise remains. The medication may turn down the volume, but mindfulness can teach us how to listen. One acts through physiology and appetite-regulating pathways. The other develops attention, awareness and our capacity to pause before automatically responding. They are not interchangeable and we shouldn’t assume that mindfulness will allow someone to eventually stop medication for weight loss. There isn’t currently enough evidence to make that claim, and decisions about continuing or stopping medication belong with the person and their healthcare professional.
Mindfulness, however may offer something medication cannot or possibly is complementary to medication. A longer-term skill and sustainable practice to change our relationship to food. Is this a genuine desire for food, or simply a familiar thought passing through my mind? That pause can be incredibly powerful. Research into mindfulness-based interventions has found improvements in mindless eating, including impulsive food choices, comfort eating and awareness of fullness. The research also reminds us to be realistic. Mindfulness doesn’t magically solve emotional eating, and the evidence for some outcomes remains mixed. The goal isn’t to silence every thought about food. It is to become less controlled by those thoughts. Perhaps this is where GLP-1 medication and mindfulness can complement one another.
Medication may provide a physiological shift that makes it easier to step away from the constant pull towards food. Mindfulness can help us use that space intentionally. We can begin to experience what genuine hunger feels like. We can notice fullness. We can enjoy food without needing to keep eating. We can recognise an emotional urge without immediately acting on it. We can become curious about our habits rather than judging ourselves for having them. And gradually, we may begin to discover something quite different from dieting.
We begin to trust ourselves not because we have finally developed enough willpower but because we are becoming more aware. The practice is the pause. For me, this is where meditation becomes particularly relevant. Meditation isn’t really about stopping thoughts it is the practice of noticing that the mind has wandered—and gently returning again and again. Maybe for me and others that same practice can happen around food:
A craving arises, notice.
A thought says “I need something sweet.”
Notice.
An urge appears.
Pause.
Take a breath.
Feel the body.
Ask what is actually needed.
And then choose.
Sometimes the choice will be to eat.
Sometimes it won’t.
The important part is that the choice becomes more conscious. Perhaps the real opportunity is not less food, but more awareness. There is understandable excitement around GLP-1 medications because they can change appetite and make weight management feel possible for people like myself who have struggled for years. But perhaps we can think about the experience more broadly. What if the quietening of food noise isn’t simply an opportunity to eat less? What if it is an opportunity to pay attention to what has been underneath the noise? What happens when eating becomes less about rules, restriction and willpower and more about awareness?
Perhaps the medication creates a little more space and meditation helps us inhabit that space. Over time, that combination can support something much more valuable than a number on the scales. A calmer, kinder, self compassionate and more conscious relationship with ourselves and with food. Because ultimately, mindfulness isn’t about silencing the mind. It is about learning that we don’t have to believe, or act upon, everything the mind says. Maybe sometimes, that is where true equanimity begins.