12/29/2025
I need my GLP-1 NOW!!
“I just had my fourth consult this month about the new weight‑loss injections and ‘addiction.’"
Patients are telling me things like:
‘I keep trying to stop but I can’t.’
‘If I gain weight again, people will stop being my friend.’
‘When I don’t have the injection, I feel withdrawal – fear, anxiety, physical symptoms.’
‘I can’t see my life after stopping it.’
Clinically, these medications (GLP‑1 agonists like semaglutide and others) are not showing the classic pattern of a chemically addictive drug; in fact, early research is exploring whether they might reduce cravings for alcohol, ni****ne, and other substances by acting on dopamine and reward pathways in the brain.
So, what are we seeing?
Powerful societal pressure to be thin, including “Ozempic shaming” and stigma around both having a larger body and using medication.
Real changes in appetite and reward circuits that make life with the medication feel completely different from life without it.
Identity, self‑worth, and relationships getting tied to a number on the scale or to staying on the injection at all costs.
To be clear:
Obesity is a medical condition, and these medications can be life‑changing and lifesaving for many people.
At the same time, the emotional dependence, fear of stopping, and intense anxiety between doses that some people describe deserve to be taken seriously, not minimized as “vanity.”
Is this a new kind of “silent epidemic” not of the drug itself, but of untreated body image distress, weight stigma, and mental health symptoms wrapped around a powerful medication?
I am curious as we are entering a new year. New trends.
Have you seen people feeling ‘hooked’ on these injections?
Does it feel more like addiction, anxiety, body image, or a mix of everything?