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And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":2297,"content":2298},{"textAlign":67},[2299],{"text":2300,"type":71},"Slaven advises parents to pay attention to clues.",[2302],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. In this segment, Dr. Slaven discusses how these problematic chatbots work; what signs caregivers should watch for; and understanding how to access help.",[],"https:\u002F\u002Fwww.wbaltv.com\u002Farticle\u002Fai-chatbots-disordered-eating-baltimore\u002F73172472",{"id":2307,"alt":2308,"name":14,"focus":2309,"title":14,"source":14,"filename":2310,"copyright":14,"fieldtype":175,"meta_data":2311,"is_external_url":177},215397905808365,"Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots on eating disorders","659x220:660x221","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F900x556\u002Faff736e1fd\u002Fkaitlins-slaven-wbaltv-11-nbc.png",{"alt":2308,"size":2312,"title":14,"source":14,"copyright":14},"900x556",{"id":2307,"alt":2308,"name":14,"focus":2314,"title":14,"source":14,"filename":2310,"copyright":14,"fieldtype":175,"meta_data":2315,"is_external_url":177},"672x206:673x207",{"alt":2308,"size":2312,"title":14,"source":14,"copyright":14},"ai-chatbots-disordered-eating-baltimore","news\u002Fai-chatbots-disordered-eating-baltimore",-4890,[],"732a7f18-be5e-46bc-a614-40b1b1581381",[],{"name":2323,"created_at":2324,"published_at":2325,"updated_at":2326,"id":2327,"uuid":2328,"content":2329,"slug":2362,"full_slug":2363,"sort_by_date":67,"position":2364,"tag_list":2365,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2366,"first_published_at":2367,"release_id":67,"lang":201,"path":67,"alternates":2368,"default_full_slug":67,"translated_slugs":67},"How Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders","2026-07-21T15:48:16.535Z","2026-07-21T17:03:19.688Z","2026-07-21T17:03:19.702Z",200537278646480,"5706d1c2-e959-483d-a367-4cd9303ea539",{"_uid":2330,"body":2331,"authors":2348,"excerpt":14,"summary":2350,"component":1878,"categories":2351,"article_type":1880,"external_link":2352,"featured_image":2353,"external_link_text":1888,"listing_thumbnail_image":2359},"ee1c11df-b5af-40c5-91c2-8155e14bacbe",{"type":62,"content":2332},[2333,2338,2343],{"type":65,"attrs":2334,"content":2335},{"textAlign":67},[2336],{"text":2337,"type":71},"Ads for weight loss medication are everywhere. For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":2339,"content":2340},{"textAlign":67},[2341],{"text":2342,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":2344,"content":2345},{"textAlign":67},[2346],{"text":2347,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. Both women dissect Boulder’s health + fitness culture and the way it contributes to unhealthy behavior.",[2349],"bf9591da-e2df-4843-8fae-035693f7e02e","ERC alum Olivia and ERC Regional Medical Director Dr. Elizabeth Wassenaar are featured in this episode of Boulder Valley Frequency as the host examines how Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders.",[],"https:\u002F\u002Fwww.boulderfrequency.com\u002F2600535\u002Fepisodes\u002F19461249-how-boulder-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",{"id":2354,"alt":2355,"name":14,"focus":2356,"title":14,"source":14,"filename":2357,"copyright":14,"fieldtype":175,"meta_data":2358,"is_external_url":177},200540914053616,"Teen girls mountain runners","1038x1867:1039x1868","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2000x3000\u002F52e1d7aff8\u002Fteen-girls-mountain-runners.png",{"alt":2355,"title":14,"source":14,"copyright":14},{"id":2354,"alt":2355,"name":14,"focus":2360,"title":14,"source":14,"filename":2357,"copyright":14,"fieldtype":175,"meta_data":2361,"is_external_url":177},"1017x1667:1018x1668",{"alt":2355,"title":14,"source":14,"copyright":14},"how-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders","news\u002Fhow-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",-4880,[],"c56648a3-02b4-4af3-893d-826c6082b441","2026-07-21T16:36:33.605Z",[],{"name":2370,"created_at":2371,"published_at":2372,"updated_at":2373,"id":2374,"uuid":2375,"content":2376,"slug":2422,"full_slug":2423,"sort_by_date":67,"position":2424,"tag_list":2425,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2426,"first_published_at":2427,"release_id":67,"lang":201,"path":67,"alternates":2428,"default_full_slug":67,"translated_slugs":67},"Letters of Light: MI teen creates eating disorder recovery nonprofit","2026-07-06T21:15:25.437Z","2026-07-06T21:26:34.824Z","2026-07-06T21:26:34.837Z",195309262625814,"32f5b9aa-8ba5-40d8-bd6d-ae52e3562113",{"_uid":2377,"body":2378,"authors":2410,"excerpt":14,"summary":2411,"component":1878,"categories":2412,"article_type":1880,"external_link":2413,"featured_image":2414,"external_link_text":1888,"listing_thumbnail_image":2420},"dea35668-f197-4363-9026-205531a84d83",{"type":62,"content":2379},[2380,2385,2390,2395,2400,2405],{"type":65,"attrs":2381,"content":2382},{"textAlign":67},[2383],{"text":2384,"type":71},"Sophie Perrenoud first needed to get help for herself — and now she’s forging a path to lending others a vital hand in the realm of eating disorder recovery.",{"type":65,"attrs":2386,"content":2387},{"textAlign":67},[2388],{"text":2389,"type":71},"After having a shaky relationship with food beginning in fifth grade, things took a bad turn during the summer between her freshman and sophomore years at Mercer Island High School (MIHS), she said.",{"type":65,"attrs":2391,"content":2392},{"textAlign":67},[2393],{"text":2394,"type":71},"Returning home after soccer conditioning, she barely ate, adding that she wasn’t even eating a meal a day.",{"type":65,"attrs":2396,"content":2397},{"textAlign":67},[2398],{"text":2399,"type":71},"“It really got to the point where I was afraid to take medicine at some point because I was scared of the calories it might contain. I was scared having an extra blueberry because, again, like, calories,” Perrenoud, now 17 and a MIHS rising senior, said on a recent afternoon.",{"type":65,"attrs":2401,"content":2402},{"textAlign":67},[2403],{"text":2404,"type":71},"She added that the food culture in high school becomes worse with other girls also struggling with their body images.",{"type":65,"attrs":2406,"content":2407},{"textAlign":67},[2408],{"text":2409,"type":71},"“I think a really big part of that was my whole life (I’ve) been labeled as skinny. When you go through puberty, your body’s going to go through changes naturally. But for me, I was almost scared that I was going to be losing that part of my identity,” said Perrenoud, noting that her brother first noticed there was something wrong and then she eventually went to the doctor with her concerned mother.",[],"Eating Recovery Center alumna Sophie Perrenoud is featured in this Mercer Island Reporter article as she shares how she turned her recovery journey into an opportunity to give back and educate others about eating disorders through the creation of her non-profit Letters of Light and podcast \"Dear Body, Dear Mind.\"\n",[],"https:\u002F\u002Fwww.mi-reporter.com\u002F2026\u002F07\u002F02\u002Fletters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit\u002F",{"id":2415,"alt":2416,"name":14,"focus":14,"title":14,"source":2413,"filename":2417,"copyright":2418,"fieldtype":175,"meta_data":2419,"is_external_url":177},195311399484593,"Mercer Island High School student Sophie Perrenoud hosts her “Dear Body, Dear Mind” podcast. Courtesy photo","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F768x1024\u002F006e285e92\u002Feating-disorders-mir-sophie-perrenoud.png","Courtesy photo",{"alt":2416,"title":14,"source":2413,"copyright":2418},{"id":2415,"alt":2416,"name":14,"focus":14,"title":14,"source":2413,"filename":2417,"copyright":2418,"fieldtype":175,"meta_data":2421,"is_external_url":177},{"alt":2416,"title":14,"source":2413,"copyright":2418},"letters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit","news\u002Fletters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit",-4870,[],"979f0001-4251-4ac2-9744-93823655e52f","2026-07-02T07:30:00.000Z",[],[],[],{"age":2432,"cache-control":2433,"connection":2434,"content-encoding":2435,"content-type":2436,"date":2437,"etag":2438,"per-page":2439,"referrer-policy":2440,"sb-be-version":2441,"server":2442,"strict-transport-security":2443,"total":2444,"transfer-encoding":2445,"vary":2446,"via":2447,"x-amz-cf-id":2448,"x-amz-cf-pop":2449,"x-cache":2450,"x-content-type-options":2451,"x-frame-options":2452,"x-permitted-cross-domain-policies":2453,"x-request-id":2454,"x-runtime":2455,"x-xss-protection":1974},"658","max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; charset=utf-8","Wed, 21 Oct 2026 16:31:04 GMT","W\u002F\"ae8afc3c24b82a65691523daf3a9a765\"","4","strict-origin-when-cross-origin","5.993.0","nginx\u002F1.31.3","max-age=31536000","476","chunked","Origin,Accept-Encoding","1.1 bc75f10f1201e895c01d2435d88b6274.cloudfront.net (CloudFront)","BgE-toCHyS2k5ILgDdIWptc6ErMVwKx51MWiX4fa6q2G9_PdVwvpRw==","IAD55-P6","Hit from cloudfront","nosniff","SAMEORIGIN","none","d3662209-b79f-495d-929e-9c8547e07374","0.027482",4,476,{"data":2459,"headers":2502},{"story":2460,"cv":203,"rels":2500,"links":2501},{"name":2461,"created_at":2462,"published_at":2463,"updated_at":2464,"id":2465,"uuid":2466,"content":2467,"slug":2493,"full_slug":2494,"sort_by_date":67,"position":2084,"tag_list":2495,"is_startpage":177,"parent_id":2496,"meta_data":67,"group_id":2497,"first_published_at":2498,"release_id":67,"lang":201,"path":67,"alternates":2499,"default_full_slug":67,"translated_slugs":67},"Should We Stop Eating When We Feel “Full”? – Dr. Ralph Carson","2026-02-02T12:06:29.122Z","2026-05-08T15:54:18.064Z","2026-05-08T15:54:18.080Z",140674617880150,"c067909b-0915-4131-8ec5-d9eab09ad6f8",{"_uid":2468,"body":2469,"file":2470,"type":2472,"topic":14,"author":14,"authors":2473,"sources":2474,"summary":14,"audience":2477,"component":1563,"conditions":2478,"meta_title":2479,"reviewed_by":2480,"spanish_file":2481,"updated_date":14,"featured_image":2483,"treatment_types":2488,"meta_description":2489,"listing_thumbnail":2490,"special_populations":2492,"clinically_reviewed_date":14},"990ca756-6ceb-472a-ac2b-7fa742191bc6","\u003Cp>Many well-meaning people attempt to stop eating when they are “full.” And most of us assume that this ability — to notice if we feel hungry or full — will come to us easily and naturally.\u003C\u002Fp>\u003Cp>We may believe that if we pay attention to our own hunger and fullness, we will naturally consume the appropriate amount of food — giving us the right amount of energy and helping us maintain our “natural weight.”\u003C\u002Fp>\u003Cp>If we don’t pay attention to our hunger and fullness cues, though, we might eat too much, leading to weight gain or obesity. This leads to a few important questions:\u003C\u002Fp>\u003Cul>\u003Cli>Does every person know how to recognize physical sensations of hunger and fullness?\u003C\u002Fli>\u003Cli>Are stomach cues really enough to rely on, in order to know when to eat and when to stop eating?\u003C\u002Fli>\u003Cli>And after years of sporadic dieting, can one lose touch with these signals? If so, how does one know if they are experiencing true hunger?\u003C\u002Fli>\u003C\u002Ful>\u003Cp>\u003Cstrong>We are designed to eat for pleasure\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>Many adults and even children will tell you that they understand what hunger and fullness feel like. They may say, “hunger is when my stomach feels empty and has little pangs in it.” “Fullness is a feeling of discomfort, pressure or tension in my stomach.”\u003C\u002Fp>\u003Cp>Research shows that, regardless of how “full” we may feel, our bodies are still hard wired to seek reward — leading some people to habitually overeat. In order to help our species survive, eating for pleasure (taste, smell, mouth feeling and appearance) will almost always override eating to the point of satiation (fullness). As a result, we are often tempted to overeat when we are presented with our favorite or highly palatable foods.\u003C\u002Fp>\u003Cp>And here is the reason why: for decades, our bodies became accustomed to eating whole foods from natural sources rather than the highly processed foods available today. In our modern society, thanks to plentiful cheap food, this balance has been disrupted for many individuals. As a result, the brain is confused and inappropriate fullness feedback occurs. This can result in \u003Ca href=\"\u002Fnode\u002F5236\" data-entity-type=\"node\" data-entity-uuid=\"46e41f30-3d45-457c-9173-e3cd26863e64\" data-entity-substitution=\"canonical\">binge eating and excess fat storage\u003C\u002Fa> (36) (Bauer ’15).\u003C\u002Fp>\u003Cp>\u003Cstrong>Frequently asked questions about hunger and fullness\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>With so many \u003Ca href=\"\u002Fnode\u002F5246\" data-entity-type=\"node\" data-entity-uuid=\"212694d8-c29c-4529-8629-09fddefa078b\" data-entity-substitution=\"canonical\">people struggling with overeating\u003C\u002Fa>, can science and medicine help bring balance back to our hunger and fullness systems? I address some common questions about hunger and fullness below:\u003C\u002Fp>\u003Col>\u003Cli>\u003Cstrong>Does binge eating or restricting affect feelings of hunger and fullness?\u003C\u002Fstrong> —When people alternate between binge eating and restricting, the body struggles to recognize how much food intake will be necessary before fullness will be achieved. This phenomenon is likely irreversible and an individual who habitually does these behaviors will no longer have the capability to tune into fullness.\u003C\u002Fli>\u003Cli>\u003Cstrong>Does weight affect stomach capacity? — \u003C\u002Fstrong>We are hard-wired to have a certain gastric capacity. Studies of gastric emptying in normal-weight and obese persons have shown inconsistent results (14) (Park ’05). You might assume that people of normal weight typically have lower gastric capacity than people of higher weights. But research has shown that normal weight binge eaters have an even larger gastric capacity than the obese (16, 18) (Geliebter ‘01b, ’04). One theory as to why this occurs is this: as weight (degree of obesity) increases, the likelihood of binge eating also increases. This explains why the gastric capacity of morbidly obese individuals is so large (19) (Yanovski ’93). \u003C\u002Fli>\u003Cli>\u003Cstrong>Can gastric stimulation help us feel full? — \u003C\u002Fstrong>A gastric electric stimulator (GES) manipulates gastric signals and produces a sense of fullness (1, 2) (Chu ’12; Mizrahi ’12). Here’s how it works: eating food trips a sensor that sends a signal to the device. Electrical activity within the stomach muscles sends continuous waves from the entry and eventually the outlet of the stomach. The gastric stimulator quickly tricks your brain to register fullness by stimulating these stomach muscles. The theory behind this is that the GES should increase feelings of fullness, reduce food intake, prevent overeating and contribute to weight loss. But does it work? Several assessments have concluded that there is insufficient scientific evidence to support gastric stimulation (3, 4, 5) (SBU ’04; Buchwald ’02; Salvi ‘09). Such exploration does provide insight that suggests reliance on gastric stimulation as an accurate indicator of fullness is unreliable. Consequently, a gastric stimulator is not recommended.\u003C\u002Fli>\u003Cli>\u003Cstrong>Can vagal nerve blockage reduce hunger? — \u003C\u002Fstrong>The vagal nerve plays a significant role modulating sensations of feeling hungry. Cutting the vagal nerve decreases appetite and reduces weight, but there is little evidence suggesting it plays a significant role in long-term weight maintenance (10) (Berthoud ’08). VBLOC ® vagal blocking therapy is designed to intermittently block the vagus input from the stomach to part of the brain linked to hunger (11) (Mamitt ’15). Periodically, the device delivers an electronic impulse that blocks hunger impulses, potentially leaving the patient feeling fuller, reducing food intake and lowering body weight. But, the device does not address behavioral and lifestyle changes: healthy eating habits, making healthy choices, addressing emotional eating or promoting physical activity. Thus, experts recommend prioritizing diet and exercise over vagal blocking devices to maintain one’s weight (13) (Dixon ’11).\u003C\u002Fli>\u003C\u002Fol>\u003Cp>\u003Cstrong>Eating to survive vs. eating for pleasure\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>In summary, we know that the body is constantly working to control food intake by balancing the need to survive (homeostatic) with a desire for pleasure (hedonic).\u003C\u002Fp>\u003Cp>At times, defective brain signaling occurs. This will shift the balance between the survival and pleasure systems — causing pleasure to take over. This may explain why humans overeat on a highly palatable diet even when they are full. And it also addresses why, over time, this ultimately impairs the ability to control caloric intake, leading to long-term weight gain.\u003C\u002Fp>\u003Cp>The emphasis on when to stop eating should be based on “satisfaction” which is achieved through mindful eating. Relying on stomach fullness cues will not only be inaccurate but frustrating for those who are either hard-wired to have increased gastric capacity or have altered their feedback signaling through disordered eating.\u003C\u002Fp>\u003Cp>\u003Cstrong>About the Author:\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>\u003Cstrong>Ralph Carson, RD, PhD, is a nutritionist and exercise physiologist with over 40 years of experience. He is currently Vice President of Science and Innovation for Eating Recovery Centers (ERC). 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