ADHD Realities

The Science of GLP-1s: Food Noise, PCOS, Desire, and Why Your ADHD Brain May Respond Differently"

If you've ever been told you're just lazy, that you lack willpower, or that GLP-1s are some dangerous experimental drug — this episode is going to piss you off in the best way. Dr. B sits down with obesity medicine specialist and lipidologist Dr. Spencer Nadolsky to cut through the noise and get into the actual science of GLP-1 medications — what they are, how they work in the ADHD brain specifically, and why ADHDers may be experiencing them differently than anyone's talking about. They go deep on food noise (and why it's not just "being hungry"), the dopamine-reward connection, sexual desire changes, anhedonia, PCOS, binge eating, loose skin, and the very personal reality of what it's like to be an ADHDer on a GLP-1. Oh, and Dr. B drops her own 84-pound journey — including the moment she cried in a parking lot over a pistachio cookie. In this episode: * What GLP-1s actually are and where they came from (yes, including the lizard) * Food noise vs. hunger vs. cravings — they are not the same thing * Why the ADHD reward pathway means GLP-1s may hit differently for us * The real conversation about anhedonia, flatness, and sexual desire changes * PCOS, insulin resistance, and the ADHD overlap nobody's screening for * Binge eating disorder and ADHD — the research, the shame, and the relief Bio: Dr. Spencer Nadolsky brings over a decade of expertise in obesity medicine, with board certifications in obesity medicine and lipidology. Since becoming a doctor, he has helped 1000s of patients lose weight and improve their quality of life through innovative healthcare delivery platforms. Dr. Spencer also has fun, educational social media content where you can laugh and learn at the same time. Find Dr. Nadolsky: Instagram: @drnadolsky [https://www.instagram.com/drnadolsky/?hl=en] | Clinic: joinvineyard.com [https://joinvineyard.com/] | Podcast: Docs Who Lift [https://podcasts.apple.com/us/podcast/docs-who-lift/id1611961208] ADHD is not a monolith and neither is your relationship with food, your body, or medication. This is educational content based on research and clinical experience, not therapy, not a diagnosis, not one-size-fits-all. Your experience is layered and specific to you. If you're struggling, work with a qualified professional.

Are You Actually Addicted to Porn Or Just Ashamed of It?

Everyone has an opinion about porn. Almost nobody is looking at the actual research. In this episode I am doing what I do in my human sexuality classroom on day one — separating what we actually know from what we have simply been told, repeatedly and loudly, until it started to sound like fact and those are not the same thing. We are talking about why "porn addiction" does not exist as a clinical diagnosis and what that means. We are talking about the research that was rejected, the diagnostic manual that said not yet, and the finding that should have completely changed this conversation — but didn't, because it doesn't sell anything. We are talking about dopamine mythology, the desensitization narrative, what the violence research actually shows, and why the NoFap movement is a belief system with a marketing strategy, not a clinical intervention. And we are talking about ADHD because your brain is being caught in a narrative that was never built with you in mind — one that takes a nervous system doing exactly what it's supposed to do and calls it broken...again. I have spent more hours than I want to admit reading this research. Pulling primary sources. Analyzing methodology. Looking at every claim through both a researcher's lens and a clinician's lens. What I found is that a significant portion of what is being handed to you as settled neuroscience is ideology wearing a lab coat. You deserved to know that. So here it is. Every study and article referenced in this episode is linked below. The supplies are there. Go read them. Critical thinking means doing your own work — I'm just here to show you where to start. This is educational content based on research and clinical experience — not therapy, not a diagnosis, not one-size-fits-all. Your experience is layered and specific to you. If you're struggling, work with a qualified professional.  Reference Links: https://pmc.ncbi.nlm.nih.gov/articles/PMC5775124/ [https://pmc.ncbi.nlm.nih.gov/articles/PMC5775124/] https://www.sciencedirect.com/science/article/pii/S027273582600019X [https://www.sciencedirect.com/science/article/pii/S027273582600019X] https://www.psychiatryonline.org/doi/10.1176/appi.books.9781615379279.lg01 [https://www.psychiatryonline.org/doi/10.1176/appi.books.9781615379279.lg01] https://pubmed.ncbi.nlm.nih.gov/33038740/ [https://pubmed.ncbi.nlm.nih.gov/33038740/] https://pubmed.ncbi.nlm.nih.gov/29412013/ [https://pubmed.ncbi.nlm.nih.gov/29412013/] https://journals.sagepub.com/doi/abs/10.1177/2167702620922966 [https://journals.sagepub.com/doi/abs/10.1177/2167702620922966] https://akjournals.com/view/journals/2006/14/1/article-p131.xml [https://akjournals.com/view/journals/2006/14/1/article-p131.xml] https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1277583/full [https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1277583/full] https://www.sciencedirect.com/science/article/pii/S2405844023020418 [https://www.sciencedirect.com/science/article/pii/S2405844023020418] https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1240222/full [https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1240222/full] https://link.springer.com/article/10.1007/s11930-023-00380-z [https://link.springer.com/article/10.1007/s11930-023-00380-z] https://publichealth.jmir.org/2021/10/e32542 [https://publichealth.jmir.org/2021/10/e32542] https://pmc.ncbi.nlm.nih.gov/articles/PMC9295218/ [https://pmc.ncbi.nlm.nih.gov/articles/PMC9295218/] https://pmc.ncbi.nlm.nih.gov/articles/PMC10374865 [https://pmc.ncbi.nlm.nih.gov/articles/PMC10374865] https://pubmed.ncbi.nlm.nih.gov/33774451/ [https://pubmed.ncbi.nlm.nih.gov/33774451/] https://pubmed.ncbi.nlm.nih.gov/26185674/ [https://pubmed.ncbi.nlm.nih.gov/26185674/] https://www.researchgate.net/publication/364356755_RebootNoFap_Participants_Erectile_Concerns_Predicted_by_Anxiety_and_Not_MediatedModerated_by_Pornography_Viewing [https://www.researchgate.net/publication/364356755_RebootNoFap_Participants_Erectile_Concerns_Predicted_by_Anxiety_and_Not_MediatedModerated_by_Pornography_Viewing] https://pubmed.ncbi.nlm.nih.gov/26095441/ [https://pubmed.ncbi.nlm.nih.gov/26095441/] https://cdn2.psychologytoday.com/assets/Ley-PornAddictionReview.pdf [https://cdn2.psychologytoday.com/assets/Ley-PornAddictionReview.pdf] https://pmc.ncbi.nlm.nih.gov/articles/PMC5039517/ [https://pmc.ncbi.nlm.nih.gov/articles/PMC5039517/] https://pubmed.ncbi.nlm.nih.gov/26606725/ [https://pubmed.ncbi.nlm.nih.gov/26606725/] https://pubmed.ncbi.nlm.nih.gov/26372200/ [https://pubmed.ncbi.nlm.nih.gov/26372200/] https://pubmed.ncbi.nlm.nih.gov/32661813/ [https://pubmed.ncbi.nlm.nih.gov/32661813/] https://link.springer.com/article/10.1007/s10508-025-03199-y [https://link.springer.com/article/10.1007/s10508-025-03199-y] https://pubmed.ncbi.nlm.nih.gov/32691692/ [https://pubmed.ncbi.nlm.nih.gov/32691692/] https://pubmed.ncbi.nlm.nih.gov/37309642/ [https://pubmed.ncbi.nlm.nih.gov/37309642/] https://www.semanticscholar.org/paper/The-association-between-pornography-use-and-sexual-Loutzenhiser-Arrighi/58de0d7a9d2f485ed03e810544bd9b45e0c0b3df [https://www.semanticscholar.org/paper/The-association-between-pornography-use-and-sexual-Loutzenhiser-Arrighi/58de0d7a9d2f485ed03e810544bd9b45e0c0b3df] https://www.researchgate.net/publication/343108786_Pornography_and_Sexual_Aggression_Can_Meta-Analysis_Find_a_Link [https://www.researchgate.net/publication/343108786_Pornography_and_Sexual_Aggression_Can_Meta-Analysis_Find_a_Link] https://journals.sagepub.com/doi/10.1177/08862605241299442 [https://journals.sagepub.com/doi/10.1177/08862605241299442]

Sex Work, Shame, and Why People Are So Bad at Critical Thinking

This episode goes everywhere — but somehow still lands exactly where it needs to. I sat down with Elle Stanger, AASECT certified sex educator and longtime sex worker, to talk about the massive cultural confusion surrounding sex work, sex trafficking, criminalization, and morality. What unfolds is a chaotic, honest, ADHD-style conversation about: * why society constantly conflates sex work with trafficking * how criminalization increases harm * the role of religion, shame, and social narratives * why people struggle to hold two truths at once * ADHD brains, stimulation, and unconventional career paths * how autonomy and variety can make certain environments more accessible for neurodivergent people We also talk about masking, strip club economics, freelance life, trauma narratives, media portrayals, and why nuance is so hard for people to tolerate. No script, no clean outline....Just a real conversation about sex, power, stigma, and ADHD brains trying to make sense of the world. To find more on Elle: Website [https://stripperwriter.com] The Talk Sex Podcast [https://www.theytalksex.com] IG [https://www.instagram.com/stripperwriter/]

Are ADHD Relationships Harder, Or Are We Just Bad at Accommodating Executive Function

You've seen the posts: "Never date someone with ADHD" vs "ADHD is a superpower." Both sides are loud, both are pissed, and both are missing the point. Most relationship research measures executive function, not love. And when we use neurotypical relationship standards to evaluate ADHD partnerships, we're measuring the wrong shit. In this episode, I break down what the data shows, why the parent child dynamic happens, and what accommodation looks like when you stop pretending ADHD brains work like neurotypical ones. ADHD doesn't ruin relationships, but unmanaged symptoms, rigid expectations, and zero accommodation? Yeah, that'll do it.

Stop Moralizing ADHD: Why ‘Try Harder’ Is a Trap

If you've ever been told you're "lazy," "not trying hard enough," or "just lack discipline"... yeah, this one's for you. I sat down with ADHD educator Kendall Delamont for a conversation about what ADHD really is and all the bullshit it's not. We're talking about why ADHD isn't a moral failing or a time management problem, why the internet's dopamine obsession is mostly wrong, and why generic ADHD advice is basically set up to make you feel like shit. We get into the real stuff: * Why ADHD traits get turned into character judgments ("if you really cared, you wouldn't be late") * Why systems stop working — and why that's completely normal, not evidence you're broken * Self-diagnosis: when it's helpful, where it gets messy, and why you need follow-through * Supplements, wellness grifters, and the role of confirmation bias * Parenting ADHD kids when you're ADHD yourself: lead with education, ditch the shame * Living in the "messy middle": building systems that work most of the time, because perfection is fake The bottom line?  ADHD isn't one thing. It's a your brain thing — and moving forward means actual education, self-compassion, and systems designed for real human brains, not fantasy ones. Find Kendall: theadhdtoolkit.com [https://www.theadhdtoolkit.com/] | @theadhdtoolkit [https://www.instagram.com/theadhdtoolkit/?hl=en] Bio:  Kendall Delamont holds a B.A. in Behavioural Sciences, a B.Ed., and certification as an ADHD Educator. She spent 8 years teaching in the classroom before creating The ADHD Toolkit– a series of in-depth, research-based courses designed to support people with ADHD and the people who love them. Thanks to her own ADHD diagnosis, Kendall brings both professional expertise and lived experience to her work. She's passionate about equipping others with practical tools designed to work with the ADHD brain rather than heaping on shame, guilt, and ineffective viral trends.  Kendall also empowers over 200k followers across her social media platforms with practical strategies, relatable experience shares, and ever-advancing scientific research.