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Ash's avatar

I’m never quite sure who decided that “skinny” was the ideal. I grew up in a culture where a fuller body was often associated with abundance, prosperity, and having enough to eat, while being thin was linked to poverty. I was bullied for being skinny, so I’ve experienced the other side of the beauty standard.

That’s why I think conversations about body image shouldn’t swing toward either extreme. Both chronic undernourishment and obesity carry real health consequences, and neither should be romanticized.

The more we fixate on our bodies, the more disconnected we can become from our relationship with them. My concern with GLP-1 medications isn’t simply weight loss—it’s that appetite suppression can make it harder to stay in touch with hunger, fullness, and other internal cues. And while they may change a body, they don’t necessarily change body dysmorphia or heal the beliefs someone holds about themselves.

The Scam Doctor's avatar

Body positivity is a very important part of the conversation around GLP1 use. However, I would not say they "only change your outer appearance." There are many health benefits from better sugar and cholesterol levels, to less sleep apnea, to less kidney disease, to better function in heart failure and arthritis patients.

What is becoming more adopted in obesity-medicine is the body positivity aspect. Decreasing shame, using patient-preferred language.... but we do have a long way to go to fully understand and improve this aspect.

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