What did @katedearaugo actually say?
Kate's core claim is that semaglutide (Ozempic) did something no diet or surgery could: it quieted the constant mental chatter about food. She describes being "consumed by the thoughts of food" from morning to night, and says the medication "just took it away." She also reports losing about 12 kilos over four months, but frames that as secondary to the psychological relief.
To her credit, she's describing a subjective experience, not making a clinical promise. She isn't claiming Ozempic cures binge eating disorder. She's saying it worked for her in a way nothing else had, including surgeries she'd previously undergone. That framing matters, because it's honest about the personal scope of the claim.
Does the science back this up?
Yes, more than you might expect. The "food noise" effect Kate describes has real biological plausibility, and it's showing up in clinical data. This isn't just anecdote stacking.
Semaglutide acts on GLP-1 receptors in the brain, including areas involved in reward processing and appetite regulation. A 2023 paper by Blundell et al. in Diabetes, Obesity and Metabolism found that semaglutide reduced food cue reactivity and craving scores in people with obesity. Separately, a 2022 study by Garvey et al. in Nature Medicine (the STEP 5 trial) documented sustained reductions in appetite and eating behavior beyond just caloric intake.
The more specific link to binge eating is still emerging. A 2023 case series by Kan et al. in JAMA Network Open reported that GLP-1 receptor agonists reduced binge eating frequency in patients with binge eating disorder, with some patients describing near-complete remission of compulsive eating urges. The mechanism appears to involve dopaminergic pathways, the same reward circuits implicated in substance use disorders, which explains why Kate's hashtags include "narcoticsanonymous." That connection isn't as far-fetched as it might look.
What did they get wrong (or right)?
Kate gets the experiential description right. The phrase "food just became food" is actually a fair lay articulation of what researchers call reduced hedonic eating, meaning food loses its outsized emotional and psychological pull. That's documented.
Where the video gets murky is the implicit framing that Ozempic is a solution to what she calls "food addiction." Binge eating disorder is a recognized DSM-5 diagnosis. Food addiction as a formal clinical construct is still debated in the literature. Pursey et al. (2014, Nutrients) found that food addiction criteria were met in roughly 19.9% of the general population using the Yale Food Addiction Scale, but the diagnostic category itself remains contested.
The bigger issue: Kate mentions she "had operations" that physically stopped overeating but didn't address the mental component. This suggests prior bariatric surgery. Replacing one weight intervention with another without addressing underlying eating disorder psychology carries real clinical risk. Ozempic is not a substitute for eating disorder treatment, and the video doesn't say that clearly enough.
What should you actually know?
A few things that didn't make it into the video but should be on your radar.
- Semaglutide is not approved specifically for binge eating disorder. Any use in that context is off-label. The evidence is promising but early.
- The food noise reduction effect appears real in studies, but it's not universal. Some patients report no change in food preoccupation.
- Kate is pregnant, or planning to be, and explicitly says she'd return to the medication after her baby. Semaglutide is contraindicated in pregnancy. That part of the video is fine because she's stopping during pregnancy, but the casual "I'd go back on it" framing with no clinical context is worth flagging.
- Weight regain after stopping GLP-1 medications is well-documented. Wilding et al. (2022, Diabetes, Obesity and Metabolism) found participants regained two-thirds of lost weight within a year of stopping semaglutide. The food noise may return too.
- If you identify with Kate's description of food obsession, that warrants a proper eating disorder screening, not just a prescription. These aren't mutually exclusive, but one shouldn't replace the other.