Best GLP-1 provider for patients with eating-disorder history
Adults with current or past eating-disorder diagnosis (anorexia, bulimia, BED, OSFED) considering GLP-1 for medical weight management.
Quick routing — match your priority
| If you want… | Best fit | |
|---|---|---|
| Coordinated ED therapist + GLP-1 prescribing | Sequence | See Sequence |
| Active ED treatment first, drug deferred | Equip | See Equip |
| Active anorexia or active purging behaviorResolve ED first; GLP-1 is contraindicated | Do not start GLP-1 | See Do not start GLP-1 |
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Things to know
Is GLP-1 safe if I had bulimia or BED in the past?
With history of remitted bulimia or binge-eating disorder, GLP-1 is generally safe with concurrent eating-disorder-trained support. Active purging or restriction is a contraindication.
Can GLP-1 trigger restrictive eating patterns?
Yes — drug-induced loss of appetite can mimic and reinforce restriction in patients with anorexia or restrictive AN history. Pre-screen with an EAT-26 or SCOFF questionnaire; involve a therapist.
What if I want to use GLP-1 but my eating disorder is active?
Treat the eating disorder first. Active ED is a contraindication in every major obesity-medicine guideline. Programs like Equip provide structured ED care; GLP-1 can be revisited after remission.
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