Body Image
The Risks of Promoting Wegovy and Ozempic for Weight Loss
Personal Perspective: Insights from an eating disorder specialist.
Posted April 4, 2024 Reviewed by Gary Drevitch
Key points
- Weight loss promotion perpetuates harmful misconceptions about health and beauty.
- Psychological impacts of weight-focused interventions can exacerbate disordered eating.
- Holistic approaches prioritize body acceptance and self-care over arbitrary weight goals.
- Understanding health beyond weight is crucial for long-term well-being.

In my role as a therapist specializing in the treatment of eating disorders and body image concerns, I am deeply troubled by recent marketing campaigns promoting drugs like Wegovy and Ozempic. While these medications may appear to offer benefits for some, their widespread promotion poses significant risks, particularly for individuals struggling with disordered eating patterns and negative body image.
Understanding Eating Disorders
Eating disorders are complex mental health conditions characterized by a range of behaviors, including restrictive eating, binge eating, purging, and obsessive thoughts about food and weight. These disorders often stem from a combination of genetic, psychological, and environmental factors, and they can have devastating effects on both physical and emotional well-being.
The Perpetuation of Harmful Misconceptions
The marketing of drugs like Wegovy and Ozempic perpetuates the harmful misconception that weight loss is the ultimate solution to health and happiness. It perpetuates weight bias and weight stigma. This messaging can be particularly triggering for individuals with eating disorders, reinforcing the idea that thinness is synonymous with worthiness and acceptance. Moreover, the focus on weight loss overlooks the underlying psychological and emotional issues driving disordered eating behaviors, such as trauma, low self-esteem, and perfectionism.
The Slippery Slope of Weight Loss Medications
Using drugs like Wegovy and Ozempic for weight loss is a slippery slope, potentially leading to the development or exacerbation of eating disorders. The medicalization of certain body sizes as desirable perpetuates harmful weight stigma and feeds into a culture that values thinness above all else. Furthermore, the pursuit of weight loss through pharmaceutical interventions can lead to damaging consequences, including malnutrition, weight cycling, and detrimental effects on both physical and mental health.
Psychological Impacts and Risks
From a psychological perspective, the relentless pursuit of weight loss can exacerbate negative body image and fuel disordered eating behaviors. Research has shown that weight-focused interventions often lead to increased preoccupation with food, feelings of guilt and shame, and a heightened risk of developing or worsening eating disorders. By promoting drugs like Wegovy and Ozempic as solutions to weight-related concerns, we risk further entrenching individuals in a cycle of disordered eating and body dissatisfaction.
Challenging Societal Standards
We must challenge narrow societal standards of beauty and health. We must advocate for a more inclusive and compassionate approach to well-being that recognizes the diversity of body shapes and sizes. Prioritizing holistic health over arbitrary numbers on a scale—and promoting body acceptance—are essential steps in creating a supportive environment for all individuals, regardless of their size or shape.
The Fallacy of Weight Suppression
Most, if not all, diets lead to binges, rebound weight gain, weight cycling, or even eating disorders. And those who are "successful" at weight suppression often suffer even more vicious physical and psychological damage as a result of long-term deprivation. Health encompasses both physical and emotional wellness, and weight is not necessarily a valid measure of health. Understanding that health and fulfillment in life come from living in accordance with your values, not from reaching a weight goal, is truly freeing.
Final Thoughts
In conclusion, it's crucial to acknowledge that promoting medications like Wegovy and Ozempic for weight loss overlooks that the body has a natural set point range, which is not meant to be artificially curated. Conflating weight loss with health not only ignores the complexities of individual biology and psychology but also perpetuates harmful societal standards. As mental health professionals, we must advocate for a more holistic approach to well-being that prioritizes body acceptance and self-care over arbitrary weight goals. Empowering individuals to embrace their natural body size and cultivate a positive relationship with food and body are essential for promoting long-term health and happiness.