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"Skinny Jab": Hype, Cost and the Real Trade-Offs

And if you stop it, do you gain it back?

I have been so hesitant to discuss this topic. But Stephen and I agreed that if After Hours is where science gets personal, then we have to be open to have a discussion on sensitive topics, like weight and weight loss.

GLP-1 drugs like Ozempic and Wegovy are having a moment right now. And I get it. As a scientist, it’s fascinating. You’re essentially altering how the body perceives energy, dialing down appetite by shifting hormonal signals around glucose. But what most people don’t realise is that this isn’t just a “shortcut,” it’s a long-term biological commitment. It’s expensive, it requires injections, and it fundamentally changes how your body interacts with food. For someone with Type 2 diabetes or severe obesity, this can be life-changing, even life-saving. In those cases, it’s not about aesthetics, it’s about survival.

But when we start using the same tool to lose the last five kilos, that’s where I pause. Because now we’re not solving a medical problem, we’re outsourcing discipline. And the trade-offs are real: nutrient deficiencies, muscle loss, that hollowed “Ozempic face,” and often the weight comes back the moment you stop.

What I always come back to is this: your body isn’t broken, it’s responding. If you can walk consistently, eat real food, and build habits that your biology recognises, you’re not just losing weight, you’re building a system that lasts. Skinny is easy. Healthy is earned.

Thank you to everyone who tuned into my live video! Join me for my next live video in the app.

Secret link: https://tr.ee/djefey

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