A Thoughtful Look at the New Weight-Loss Drugs

I’m going to say this plainly, because dancing around it hasn’t served anyone well.
The growing push to normalize drugs like Ozempic, Wegovy, and their look-alikes isn’t just aggressive marketing — it’s a philosophical shift in how we now think about the human body. And I believe it’s a bad one.
We’ve reached a point where we are maintaining pharmacologic control over normal biological systems indefinitely, and we’re doing it with a straight face while calling it “progress.”
Let’s strip this down to first principles. These drugs don’t heal anything. They don’t repair metabolism. They don’t teach the body how to regulate hunger, insulin, or satiety. They suppress. They slow. They override. The stomach is designed to move. Hunger is designed to signal. Satiety is designed to shut things off naturally. These medications intentionally interfere with all of that.
Call it “slowed gastric emptying” if that sounds gentler. In plain English, digestion doesn’t work the way it’s supposed to anymore — by design.
What really concerns me isn’t that these drugs exist. Medicine should absolutely help people with serious metabolic disease. What concerns me is how fast we’ve gone from targeted medical use to casual, cosmetic, lifetime prescriptions for people whose real issue isn’t a broken body, but a broken food environment.
Ultra-processed food. Constant snacking. Sugar everywhere. No understanding of insulin. No understanding of fasting. No understanding of muscle loss. Instead of fixing the inputs, we mute the outputs. Instead of restoring function, we suppress signals.
And then we act surprised when the weight comes back the moment the drug is stopped.
Of course it does.
If the only thing holding hunger at bay is a weekly injection, the moment that injection is gone, the body does exactly what it evolved to do. That’s not failure. That’s biology reasserting itself. The drug didn’t fix the system — it sat on top of it.
The quiet part that rarely gets said out loud is this: these drugs are being reframed as lifelong. Not temporary. Not transitional. Forever. That’s not treatment. That’s management. And once you accept that model, coming off the drug gets labeled as a problem rather than a return to normal function.
We’ve seen this movie before. Appetite suppressants. Fat blockers. Miracle pills. Different decade, different branding, same outcome. The only difference now is the scale and the confidence with which it’s being sold.
What bothers me most is how quickly common sense has been pushed aside. If a medication causes chronic nausea, reflux, bloating, food aversion, constipation, and muscle loss — those aren’t minor inconveniences. Those are warning lights. If long-term data doesn’t exist, pretending it does is not science. It’s marketing.
There are times when drugs save lives. I’m not anti-medicine. I’m anti pretending that normal human signals are diseases simply because it’s profitable to suppress them.
We don’t have a weight problem because our stomachs move too well. We don’t have an obesity problem because people are weak. We have a problem because our food system is broken, our education is broken, and we’ve decided chemistry is easier than accountability.
Pushing a drug that shuts down normal biological function and calling it health is not progress. It’s convenience dressed up as care.
And history tells us that when medicine replaces wisdom, the bill always comes due later.
So I’ll end with something practical, because philosophy without action doesn’t help anyone.
I am asking all my friends who struggle with weight loss to do one simple thing. Look at every nutritional label on the food you eat and don’t eat anything that has “added sugar” in it. That’s it. Just do that today. Nothing else. Period.
And before you think that sounds too easy to be true, I mean everything — especially the foods you would never suspect. All sauces. All condiments. Any processed food. Sugar is everywhere.
When you eat sugar, your insulin spikes. When insulin spikes, you eat more food. That isn’t weakness — that’s biology. And that’s exactly why they put sugar in the food in the first place.
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