The Uncomfortable Truth About Ozempic (Updated Version)

In the last few years Ozempic or  Mounjaro managed to make millions

of people lose massive amounts of weight  with seemingly only mild side effects.

More than one in eight US  adults have tried the drugs,

and for the first time in history the  country’s obesity rate actually fell.

At the end of 2025 the WHO added GLP-1 drugs to its Essential Medicines List for diabetics

and released guidelines on how to use it for obesity.

For the first time ever, we  have a medication that reliably,

quickly and seemingly safely  can make people lose weight.

Sometimes massive amounts of weight.

But as with most things related to nutrition,

health and weight loss these  medications are controversial.

There are many aspects to GLP-1s,  but we will focus on one today:

The potential medical revolution  these drugs could mean for obesity,

one of the most deadly chronic  diseases of our time that over

one billion people suffer from and that  remains largely unsolved and underfunded.

It turns out GLP-1 drugs are the first effective  medical treatment for obesity in medical history.

The Obesity Trap

In 2025 more than half of Europeans  were either overweight or obese,

plus one in three children.

And in many countries like the US, Mexico, Chile  or Saudi Arabia the numbers are even worse.

Today this kills almost 4 million people each year and if trends continue,

by 2050 one in three adults on Earth will be  obese and half of humanity will be overweight.

When hearing the word obese most  people think of the extreme ends

of the spectrum, but this is not correct.

It’s not very helpful that  the definition of obese is

a bit vague because bodies are pretty different.

So it can be a BMI of over 30,  your waist to hip ratio or a

body fat percentage of over 25%  for men and over 32% for women.

In the end obese is a medical term that doesn’t

judge how you look but if you have  an unhealthy amount of body fat.

How did we get here?

For most of our history, food was scarce.

So when our ancestors found a calorie  bomb, binging on it was the best of ideas.

The more sugar, fat and salt the better!

Our brains are wired to love these foods, they bring pleasure, enjoyment and mental release.

This helped us survive in a world where food was  the most important thing to worry about each day.

And then the world changed overnight and suddenly  our modern food environment hijacked our biology.

Food is a product now and has become cheap, calorie-dense and hyperpalatable

– which means it has been  engineered with addictive levels of sugar,

fat and salt – making our reward  centers go ballistic with joy.

About half of the products in a US grocery  store are ultra processed and many are

labeled in ways that are deeply misleading,  like the serving sizes on packs of chips.

Marketing strategies like value pricing and  constant food ads stimulate us to eat more.

So most people overeat regularly,  sometimes without even noticing.

And this is very subtle – most people don’t  get overweight because they massively lack

self control, they just eat a little  bit too much over a long period of time.

Just a small excess, like the  equivalent of half a snickers over

your maintenance calories per day, compounds  to almost 5 kg or 10 pounds of fat after a year.

This is how most people get  obese, slowly bit by bit.

Since being overweight is also shamed on top of being unhealthy,

we tried to fix our overeating behavior  with all sorts of… well, behavioral methods.

The world is filled with diets and healthy habits  campaigns – but if we look at the results,

just telling people to eat healthier foods and  to move more does very little in the real world.

Most people gain back most  weight they lose during a diet,

within a year or two, and  often gain more afterwards.

Often through little fault of their  own, because once you do lose weight,

your body is also working against you by trying to  bring you back to the fat baseline it was used to.

Really the only reliable way to do it  is a lifestyle change – not a break

from calorie-dense food but a lifestyle where  you eat it only occasionally or not at all.

Which is not just very hard but also feels like  saying no to some of the best things in life.

Finally there is simply: Hunger, a really  strong and hard to ignore signal from your body.

How hungry you are is genetic,  so just through bad luck,

you may experience a lot of food  noise and think about eating a lot.

And to make things worse, in many  people who get overweight or obese,

their hunger signal becomes dysregulated  – not necessarily permanently, but even

after losing weight it can take a long time  before your hunger adjusts downwards again.

And this is exactly where GLP-1  drugs interact with our biology.

Before we get there, let’s fix something easier  first – how we engage with the news every day.

Our partner Ground News is a  website and app built to help

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They curate news articles from across the  globe, adding context on political bias,

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You can even compare headlines to  see how bias shapes the narrative.

The same weight-loss drug story might  be framed as a miracle by some outlets,

while others warn about harmful trends.

Ground News also reveals "blind spots" –  stories that only one side is covering,

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and directly supports our channel.

And now back to losing weight!

Your Hunger Is Hormones

Many eating behaviors – eat now or later,  chocolate or vegetables – are actually

governed by an orchestra of hormones  that are not within your control.

You are not hungry in the evening because  you decide to be or because this is when

your body needs energy, but because  your body releases certain hormones.

And it turns out your fat is one of  the major regulators of this orchestra.

If you are overweight or obese, the excess fat  is throwing your hormonal orchestra out of tune.

This may make you more hungry  or push you to overeat more,

creating insulin resistance that  causes type 2 diabetes and so on.

We made a video if you want details.

But there is one specific hormone  that plays its tune quietly in the

background, even in obese people – the  “glucagon-like peptide-1”, or GLP-1.

It is one of the hormones your  body releases after a meal.

It tells your pancreas to release more  insulin to keep blood sugar in check

and slows down your digestion  to keep food in your stomach.

And in your brain, it increases your feeling of  

fullness and being satisfied  – curbing your appetite.

These effects are usually modest.

Once in your bloodstream, GLP-1 disappears in  barely two minutes, its song quickly fading away.

So one day scientists had an idea – what  if we made artificial copies of GLP-1,

that play the same song but louder  and much longer? A GLP-1 signal that

stays in your body would boost  insulin and silence appetite.

The first artificial GLP-1 was approved in  2005 for diabetes and in 2014 for obesity,

but the revolution came with semaglutide  and tirzepatide – Ozempic and Mounjaro.

Really powerful GLP-1 agonists that play their  songs in your bloodstream for up to a week.

They send out a loud and steady signal  that dials down your appetite 24/7.

You still enjoy food, but you feel  full and satisfied much sooner,

making it easy to not overeat.

And since the song never really switches off,

you feel less hungry throughout  your day, making you eat less often.

How intensely you feel hunger is largely genetic,  so especially people who suffer from food noise,

a constant urge to eat, feel a huge  psychological relief from the drug.

Finally their body stopped screaming at them.

Suddenly, you are dieting without expending willpower, without really thinking about it – it feels magically effortless.

By changing your biology, a  drug changed your behavior.

But uhm… is this a good thing?

Miracle Drugs

On the weight loss side, these  drugs are incredibly effective.

In 3 months you can lose  10% of your initial weight.

Three months later, over 15.

And after a year, you may reach more than  20% – a level of weight loss that used to

only really be achievable  through bariatric surgery.

In other words GLP-1 drugs make excess  weight melt away like nothing before.

We can’t stress enough how unhealthy obesity is,

causing everything from diabetes  to heart attacks and cancer.

So the consequences for health are stunning.

Treatment with semaglutide cuts your  risk of stroke or heart attack by 20%.

17 months of tirzepatide crashes your  chances of developing diabetes by 66%.

They also reduce sleep apnoea,  improve kidney and liver function,  

lower inflammation, cut cancer risk,  and may potentially slow Alzheimer's.

They might even boost fertility,

as obesity often disrupts hormones and  increases complications during pregnancy.

And there may be more positive long term effects.

Some of these benefits are a  direct result of weight loss.

But intriguingly, they sometimes occur  regardless of how much weight has been lost,

and some have been seen in patients  who weren’t obese to begin with.

We don’t know why yet, but it seems like  turning up the GLP-1 signal is synchronizing

the whole metabolic orchestra, restoring  a balance between brain, gut and body.

And as if that weren’t enough,  GLP-1 drugs may also quiet other

cravings – they seem to reduce the use of  alcohol, nicotine, cannabis and opioids.

Large trials are underway  to confirm these effects.

If the results hold, they could become something  unprecedented: real anti-addiction drugs.

But of course there are side effects.

Most commonly nausea, vomiting,  diarrhea and constipation – not fun,

but usually harmless and fleeting  for the vast majority of patients.

More serious stuff like pancreatitis,

kidney problems or gallbladder disease do  happen, but for well under 5% of people.

So it is pretty risky to take these  drugs without medical supervision and

in extreme cases thes can land  you in the emergency room.

While these drugs are not really that new, since  diabetics have been using them for decades,

because now millions of people are using them, we might discover new side effects in the coming years.

Apart from this, the main downside of GLP-1 drugs

may come from their greatest  strength – rapid weight loss.

If you don’t actively check what you eat, taking  these drugs is just an unhealthy crash diet.

Any steep calorie deficit requires  resistance training and plenty of protein,

or else you’ll lose a lot of  muscle along with the fat.

That’s harmful at any age,  but especially after 40,

when building muscle gets harder and  the risk of falls starts to rise.

So while these drugs change your  biology, they don’t do all the

work for you – staying healthy still  requires you to adopt healthy habits.

In the end the same is true for these drugs as  is for any other diet: Without a lifestyle change

you either have to use the drugs forever  or you will probably gain the weight back.

After about a year the weight loss slows  down and eventually stops in most people.

At this point you usually  stop using the medication.

If you used that time to change your  eating habits you have a really good

chance of keeping the lost weight off!

But about 25% regain a significant chunk, and some 20% put back on all of it.

So for many, maintaining the results  may mean staying on the drug forever.

Is this a bad idea? Well, we don’t know.

The newest generation of drugs is just  too new so there is no long term data.

The first GLP-1’s from 2005  haven’t shown major issues.

Based on what we know today,

it seems pretty clear that living with obesity is  much unhealthier than living with the drugs.

And to be crystal clear: this doesn't  mean that these drugs are for everyone.

If you want to lose a couple of pounds  but are otherwise healthy and have no

chronic disease these drugs were not made for you.

You really should really go the traditional  route first before you start injecting drugs.

Using it to get to unhealthy amounts of low  body fat is definitely not a great idea.

In a nutshell: The best things these drugs  do is to remove the pressure of intense

hunger and food noise, to give you a time  window where you can change your habits.

You still need to change your habits  though, no drug can fix that for you.

Conclusion and Opinion

A recent study modeled what would  happen if millions of US adults who

are obese or overweight got GLP-1 drugs for life.

In just 2 years, about 50% of all  obesity in the country would vanish.

Over the years, it would prevent  26 million cases of diabetes,

13 million cases of heart disease,  and 5.5 million premature deaths.

Which seems like a pretty good thing.

And new drugs that are in final  trials promise to work even better.

Defeating obesity suddenly feels within reach.

Right now, the biggest obstacles are  actually supply shortages and high prices,

which make these drugs inaccessible  for many who actually need them.

Patents for the semaglutide and  tirzepatide will expire soon in  

many countries and prices for  them will collapse as a result.

In the long run, increased production and  plummeting costs seem almost guaranteed.

Soo… should we just inject obesity away?

Well for now at least it seems that there are  few downsides – although please don’t listen

to internet videos and talk to your doctor  before you make any decisions for yourself.

It’s also important to remember that  while these drugs are immensely helpful,

they are not magic – they make a hard thing easier

but it still requires you to change  your habits and put in some effort.

They can gain us the time we need  to fix the root causes of obesity.

But it does seem the future just  got a whole lot healthier.

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