In recent years, the interest in weight loss medications has surged, which has created a new extension of weight bias and stigma known as weight loss medication shaming. As more individuals turn to medical treatments for managing obesity and related health conditions, a culture of criticism and judgment has emerged. This phenomenon is rooted in weight bias and societal attitudes towards weight, health, and personal responsibility. This article aims to explore the reasons behind weight loss medication shaming, shed light on the meaningful impact of weight loss medications, and offer guidance on how to navigate these conversations to prevent weight bias and stigma.

FDA-approved weight loss medications

Before delving into the issue of shaming, it's important to understand what weight loss medications are currently available and approved by the FDA. FDA-approved medications for weight loss include:

• Zepbound® (tirzepatide)
• Wegovy® (semaglutide)
• Saxenda® (liraglutide)
• Contrave® (naltrexone/bupropion)

These medications are most effective in promoting weight loss when combined with comprehensive lifestyle changes such as a healthy diet, exercise, and mindset shifts. They work through various mechanisms such as suppressing appetite by regulating hormones in the brain, slowing down digestion, and regulating blood sugar, helping individuals feel fuller longer and experience fewer cravings.

Why weight loss medication shaming happens

The reasons behind weight loss medication shaming are often rooted in misconceptions about obesity, weight loss, and medical treatments. Let's discuss some of the most common conversations that can lead to medication shaming:

“You're doing it because it's trendy”

With celebrities and influential figures openly discussing their use of weight loss medications, some argue that people are seeking these treatments simply to follow a trend rather than out of medical necessity. This perception ignores the fact that many individuals have struggled with weight management for years and are turning to these medications as a treatment tool for a chronic disease.

“You're doing it because you're lazy”

There's a misconception that individuals using weight loss medications are avoiding the hard work of diet and exercise. This narrative fails to acknowledge that obesity is a chronic disease that has many weight-related comorbidities that impact a person’s health. Most people using these medications have already tried to lose weight many times before, but dieting and exercise alone did not result in sustained success. For many, diet and exercise alone will not be enough to lose weight and keep it off due to biological and environmental factors. This is why medical interventions like FDA-approved medication are sometimes added as part of the medical treatment plan for weight loss.

“You're being a bad role model”

Social media discussions often center around the perception that it’s irresponsible and a bad example to take weight loss medications. Some argue that using these treatments promotes "cutting corners" or relying on "unnatural" methods. This viewpoint fails to acknowledge that for many, weight loss medications are a necessary medical intervention to treat a chronic disease, similar to  treatments for other chronic conditions like high blood pressure or diabetes.

Lack of Education & Understanding

Often, misinformation regarding weight loss medications comes from lack of knowledge of their mechanisms, side effects, risks, benefits, and a broader misunderstanding of obesity as a chronic disease. This knowledge gap can lead to unfounded concerns and criticisms, further stigmatizing those who use medical interventions.

The reality of weight loss medications

When taking any medication, it is important to do so with the supervision and support of a medical professional. The decision to use weight loss medications is not made without careful consideration by a person and their medical provider. Here are some important facts to consider:

• Weight loss medications are often prescribed as just one part of a comprehensive treatment plan. Medical professionals typically recommend lifestyle changes and address underlying health conditions before prescribing weight loss medications. These treatments are not first-line options for most patients but are considered when other interventions have been unsuccessful or when it’s medically necessary based on a person's health history.

• Only certain people are actually eligible for weight loss medications. According to FDA guidelines, weight loss medications should only be prescribed to individuals who qualify, with a BMI of 30+ or 27+ with weight-related comorbidities. At Form Health, these are the guidelines which we adhere to. This criteria ensures that these medications are used appropriately for those who can benefit most from them.

• Weight loss medications are not fully effective without lifestyle changes. For optimal weight loss outcomes, patients using weight loss medications should adopt and maintain a healthy diet and include physical activity in their day. These medications work best when used in conjunction with lifestyle modifications, not as a replacement for them. At Form Health, FDA_approved weight loss medications are prescribed as appropriate for patients and are just one part of a comprehensive treatment plan. To receive a prescription you must be under active management of a Form Health provider and engaged in lifestyle counseling with a Form Health Registered Dietitian.

• Many weight loss medications are FDA-approved to treat more than one chronic disease. Certain types of medication classes like GLP-1’s and GLP-1/ GIPs are FDA-approved to treat multiple chronic diseases, including diabetes and cardiovascular disease. Because these classes of medications have multiple approved indications, assumptions are made that people taking these medications for weight loss are misusing them or taking them from “more deserving” patients. This narrative is untrue and creates a lot of shame and stigma for patients seeking necessary medical interventions for obesity. People taking weight loss medications often experience health improvements beyond weight loss. For these individuals, the medications serve a dual purpose of both addressing obesity and related health conditions.

How to handle difficult conversations regarding weight-loss medications

Given the sensitivity of this topic, here are some strategies for navigating challenging discussions with family, friends, and medical professionals:

1. Stay confident in your choice: Remember why you and your doctor decided on this treatment plan. Your health decisions are personal and based on medical advice.

2. Educate others: If you are discussing your medication, share factual information about the medication and its role in your health journey. Direct others to reputable sources for more information.

3. Set boundaries: It's okay to politely but firmly limit discussions about your personal health decisions. You're not obligated to justify your medical choices to everyone.

4. Seek support: Connect with understanding friends, family, or support groups. Surrounding yourself with positive influences can help counteract negative experiences and build confidence in your weight loss journey.

5. Focus on your progress: Track your milestones to stay motivated. Remember that your journey is about improving your health, not pleasing others.

6. Share your story: If comfortable, sharing your experience can help create a positive environment and educate others. However, you're not required to be an advocate if you don't want to be.

7. Practice self-compassion: Acknowledge that prioritizing your health is commendable. Be kind to yourself throughout this journey.

Overcoming medication shaming with medical weight loss professionals

Healthcare professionals play a crucial role in countering stigma and misinformation surrounding weight loss medications. Form Health providers and Registered Dietitians are not only there to manage medication and provide lifestyle guidance, but also to help you navigate everything that comes with starting your weight loss journey.If you're considering weight loss medication or struggling with related stigma, don't hesitate to reach out to healthcare professionals who can provide informed and compassionate care. Find out if you are eligible by taking our quiz or send a message to get in touch directly at info@formhealth.co.