Ozempic will give way to another quick-fix diet drug, then another and another, Northeastern expert predicts by Cynthia McCormick Hibbert March 21, 2023 Share Facebook LinkedIn Twitter An Ozempic pen seen sitting on a table in Carmel, IN. The diabetes drugĀ Ozempic has seen supply chain issues due to off label prescribing for weight loss. Photo by Jason Bergman/Sipa USA)(Sipa via AP Images It may be impossible to avoid the current hype around Ozempic, a new weight-loss promoting drug thatās so ubiquitous it ended up mentioned in Jimmy Kimmelās Oscar monologue. Rachel Rodgers, associate professor of applied psychology at Northeastern, predicts the medication will fall from favor as a weight loss toolāand likely will be replaced by another āquick fixā that wreaks havoc with peopleās body image and, possibly, their bodies. āThere have been weight loss drugs since the 1930s,ā Rodgers says. āThey inevitably are shown to have dangerous side effects. They are typically popular for a short term and then are revealed to be dangerous and are replaced with something else.ā An authority on body image and disordered eating, Rodgers says she is not an expert on the biological underpinnings of Ozempic, an injectable medication developed to treat Type 2 diabetes that has been repurposed as a weight loss drug adopted by celebrities and some on social media. Rachel Rodgers associate professor, department of applied psychology, poses for a portrait. Photo by Matthew Modoono/Northeastern University The active ingredient in Ozempic, semaglutide, works by inducing a feeling of fullness in users, which cuts down on their appetite. As a critic of the diet industry who has seen other weight loss come and go, she says one constant is the need to shake things up with new products. āThe weight loss industry loves to make money out of people feeling insecure regarding the way they look,ā she says. āNovelty is an important part of that because it drives greater profits. You need to introduce novelty into the market to keep it going.ā The drug is rumored to be so popular among celebrities that comedian Jimmy Kimmel opened his monologue on Oscar night with the quip, āWhen I look around at this room, I canāt help but wonder, āIs Ozempic right for me?āā Itās not surprising that a number of celebrities are rumored to be taking Ozempic to drop pounds, Rodgers says, adding there is a synergy between the diet and entertainment industries. āThe entertainment industry, the weight loss industry, the fitness industry, the food industryāall these things work together. Theyāre all on message about how people should be pursuing unrealistic appearance ideals; that weight is controllable to an extent that we know itās not; and that purchasing products and services will help people to achieve this appearance,ā she says. Tech mogul Elon Musk is one of the highest profile people to have admitted to taking Wegovy, which is the same pharmaceutical product, semaglutide, as Ozempic, but in a slightly higher dose specifically prescribed for weight loss. Among users of Twitter and TikTok, social media is rife with the hashtag #Ozempic. There are TikTok 30-day Ozempic weight loss vacation challenges, Ozempic chicken soup recipes and even accounts dedicated to the vivid dreams some users say are caused by the medication that has to be injected once a week. The emphasis on weight loss can cause poor body image, which is often associated with depression and loss of self-esteem, particularly in teenagers and young adults, Rodgers says. She says itās no wonder people gravitate toward Ozempic, when social media users tout the appeal of immediate gratification with little effort. āPeople like things that are a quick fix,ā Rodgers says. āThis drug is marketed as something that would not require a grueling exercise regime. It is something that people would see as being easy.ā In fact, Ozempic has been shown in clinical trials to produce modest weight loss in conjunction with lifestyle changes, Rodgers says. While high blood sugar levels provoke hunger and food cravings, Ozempic works to keep blood sugar levels low, according to the Ozempic website. It does this by helping the pancreas produce more insulin when blood sugar levels are high, preventing the liver from making and releasing too much sugar and slowing digestion, according to the website. Side effects include nausea, vomiting and diarrhea. And many people report regaining their appetite and their weight as soon as they go off the drug. Rodgers says there is accumulating evidence behind a theory known as set point body weight, which means the body has a certain weight it wants to maintain and will adjust to periods of more or less food to keep it stable. Keep in mind that thinness is not always synonymous with health and people whose body weight is higher than societal ideals can be fit and healthy, Rodgers says. She prefers a thoughtful, sustainable approach to personal nutrition and fitness that encourages people to slow down and listen to their bodiesā cues regarding their need for food, rest and movement. The approach emphasizes taking care of oneās body instead of restricting it or putting it through a punishing routine. Making decisions based on āhow youāre feeling, rather than in terms of what you think youāll look like, is a good option,ā Rodgers says. Taking Ozempic to whip oneself into red carpet-shape sends āa dangerous message,ā she says. āIt normalizes taking something that is a medication,ā Rodgers says. āThe prevailing diet culture suggests that trying to lose or control weight is the right thing to do. But that is part of disordered eating.ā Cynthia McCormick Hibbert is a Northeastern Global News reporter. Email her at c.hibbert@northeastern.edu or contact her on Twitter @HibbertCynthia