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What Now? With Trevor NoahWhat Now? With Trevor Noah

The Ozempic Obsession with Jia Tolentino | What Now? with Trevor Noah Podcast

Ozempic, It started with a lizard, and then transformed into a drug that, depending on who you ask, is either a miracle or the downfall of society.

Trevor NoahhostChristinahostJia Tolentinoguest
Aug 22, 202448mWatch on YouTube

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Transcript

  1. 0:00 – 0:01

    Intro

    1. TN

      [upbeat music]

  2. 0:01 – 5:25

    Pro-Choice on Ozempic: Opening Positions

    1. TN

      I'm not a scientist, and none of this is actual advice. Please take everything ... Imagine I'm an idiot who has stumbled into your village.

    2. CH

      [laughs]

    3. TN

      Now you can listen to me. [upbeat music] This is What Now? with Trevor Noah. [upbeat music] Christiana, nice to see you in person.

    4. CH

      Good to see you in person, Trevor.

    5. TN

      This is so much fun, friend. I haven't seen you in so ... like, like this-

    6. CH

      I know

    7. TN

      ... in the flesh.

    8. CH

      We used to do this every day.

    9. TN

      Yeah.

    10. CH

      Remember?

    11. TN

      Yeah. That was the best thing.

    12. CH

      We used to make a show every day. [laughs]

    13. TN

      Every single day of our lives.

    14. CH

      [laughs]

    15. TN

      That, that was ... I was like, I loved it.

    16. CH

      You liked it so much you quit-

    17. TN

      Ah. I mean-

    18. CH

      ... and left us. [laughs]

    19. TN

      [laughs] Oh, man. Um, I'm excited to have this conversation today because, um, I'm, I mean, I'm, I'm excited for all conversations. But, like, this conversation is, is one that I don't even think we'll be able to complete today, which I think all good conversations are strangely enough. And this one in particular intrigues me because everybody's talking about Ozempic, right? And we're not talking about Ozempic the product today. I think that's, that's gonna be important for everyone to understand. We're just gonna use that as a name for-

    20. CH

      Mm-hmm

    21. TN

      ... you know, these weight loss drugs.

    22. CH

      Yeah.

    23. TN

      'Cause Ozempic, Mounjaro, Zepbound, Wegovy, you name it.

    24. CH

      Yeah.

    25. TN

      You know? The, the point is we're talking about inject, lose weight, apparently feel great. This is the ... That's my catchphrase, by the way, if they wanna buy it from me.

    26. CH

      [laughs]

    27. TN

      I'm, I'm available, Eli Lilly. I'm available, and Novo Dos- Dospis. I ne- I never know how to say their name.

    28. CH

      Yeah, I can't say it either.

    29. TN

      But, uh, yeah, it's ... I feel like we're at an interesting inflection point in society where there was a point when this would've just been ... would, would've been shunned completely.

    30. CH

      Yeah.

  3. 5:25 – 8:08

    Thinness, Morality and the Idea of Cheating

    1. JT

      Well, I, you know, this I do have thoughts on. You know, I think that one of the things that our whole fascination with Ozempic is based on is ... And it's interesting. You know, Christiana, I wonder if you have thoughts with little kids, right? Part of beauty is thinness, as, as it's taught to you from a really early age. Like, fatness, queerness, darkness, all of these things are, like, coded as signs of deviance. I f- Like, you, you learn as a really young child in Disney movies, in anything, like, beauty is really coded as morality.

    2. TN

      Right. Right, right.

    3. JT

      And there's this Protestant work ethic thing, right? It's something that you should achieve through hard and punitive work and discipline, right?

    4. CH

      Yeah.

    5. JT

      And when people use Ozempic, it's like, mm, you cheated.

    6. CH

      Yeah.

    7. JT

      You skipped the hard work part.

    8. TN

      Mm.

    9. CH

      You know? Yeah.

    10. JT

      And so you, you got the thing we demanded of you, but now we find this a vaguely immoral thinness.

    11. TN

      Like, you worked hard-

    12. CH

      Yeah

    13. TN

      ... to achieve the right thing. Okay. I, I, I hear what-

    14. JT

      Yeah.

    15. CH

      Yeah

    16. TN

      ... I hear what you're saying.

    17. CH

      Yeah.

    18. TN

      It's funny because I, I don't know how it was for you growing up, but, so I have, I've had an interesting journey with, um, weight and how I perceive it, and fatness, et cetera, because I grew up in South Africa. Genuinely, growing up, this is such a weird thing to try and explain to people. In South Africa, you did not get made as much fun of if you were fat. Like, so, like a fat person, you'd just be like, I mean, I, I don't even remember if we had that many names, but I remember all the ones for skinny people was Sticks Manzanza. It w- [laughs]

    19. CH

      [laughs]

    20. JT

      [laughs]

    21. TN

      That was my favorite ones.

    22. CH

      [laughs]

    23. TN

      Uh, Sticks Manzanza, Ski- skinny Maneely. It wa- like, there were all these names where it was just like, you, you, you're a twig, you're thin.

    24. CH

      Yeah.

    25. TN

      You ... And it was a sign there of, of, um, a lack of having.

    26. CH

      Yeah.

    27. TN

      If you got married and you didn't gain weight, people would say that your marriage is not going well.

    28. CH

      [laughs]

    29. TN

      Literally, they'd be like, "Is your, is your wife not treating you well? Ai, mana, aha."

    30. CH

      Yeah.

  4. 8:08 – 10:42

    Weight Loss Drugs for Children and Structural Causes

    1. CH

      it's funny that you mention the childhood stuff that it brings up because recently it was approved for children.

    2. TN

      Oh, it was?

    3. CH

      Yeah. Uh-

    4. JT

      Right

    5. CH

      ... and there are parents who are making the decision-

    6. TN

      Ooh

    7. CH

      ... to give-

    8. TN

      Ooh, I don't know about that.

    9. CH

      I mean, Trevor, that's your inst-

    10. TN

      Ooh

    11. CH

      ... it's, like, very visceral. You're like, "Giving it to kids?" But like-

    12. TN

      Okay, I'll, I'll tell you why. I'll tell you why. I do not think that these types of drugs should be approved for children. I personally believe that there are still a whole host of things that you can do to get that child ... Like, if, if you're giving them this drug, I'm assuming it's because their weight is really detrimental to their health.

    13. CH

      Okay.

    14. TN

      Otherwise, it's, it's weird. Like, you're just trying to make, like, a sexy kid or something.

    15. CH

      I mean-

    16. TN

      That's weird

    17. CH

      ... it's so crazy, but I meet m- mothers, a lot of older girls who are, like, preteens and teenagers, and they'll show you pictures of their daughter and be like, "Oh, but this one needs to lose weight." You know, like-

    18. TN

      What?

    19. CH

      ... mothers ... It, it's so encoded in our culture that there are mothers out there and fathers out there who just like-

    20. TN

      Damn

    21. CH

      ... "You need to lose weight." I mean, most people's r- relationship with food don't come from themselves. They often come from their parents and their families.

    22. JT

      It's, it's so interesting that all of this concern about what creates health for kids always comes down to food and weight.

    23. CH

      Yeah.

    24. JT

      Right? And it's like there's so much other stuff. It's like it's housing policy. It's like, it's, it's food stamp policy, right? It's all of these things.

    25. TN

      Yeah.

    26. JT

      And it's, like, funding for recess and, you know, and, and for, like, physical activities-

    27. CH

      Yeah

    28. JT

      ... and for, and for all these things. 'Cause, you know, there are, there are levers you can pull to change your body certainly during childhood and that, you know ... Like, it's, it's not to say that lifestyle and the, what you eat doesn't affect it, but, you know, the- there ... I talk to doctors that are, you know, their, the patients are, their kids are in food deserts, and-

    29. CH

      Yeah

    30. JT

      ... they have nobody that can take them outside.

  5. 10:42 – 12:19

    Body Ideals in Nigeria and Fattening Rooms

    1. TN

      Was Nigeria the same? How, how, what's, what was weight like in Nigeria? Like, how does-

    2. CH

      It's really interesting. There is this cultural ... The body that's idealized is quite hard to get, so it's like-

    3. TN

      Yes

    4. CH

      ... big hips, tiny waist, and big boobs, and a big bum, which is pretty impossible to get, right? Most people don't have it naturally.

    5. TN

      Yes. Yeah.

    6. CH

      And you're not probably gonna have that after you have kids. Um, I was always considered a bit too skinny. Like, my grandma was like ... I remember she saying to me once, she was crying, and my mom was like, "Why are you crying?" She was just like, like she calls me by my name, Ama. She was just like, "Who's gonna marry Ama? She's got bones."

    7. TN

      [laughs]

    8. CH

      [laughs] That, you know, you know, if you actually go to West Africa in particular, you see a lot of body diversity.

    9. TN

      Yeah.

    10. CH

      So you see, like-

    11. TN

      Yeah

    12. CH

      ... really tall women-

    13. TN

      Mm-hmm

    14. CH

      ... really muscular women. And, like, in Nigeria, I think the most, the biggest indicator about how bodies naturally are is that does your tribe have a fattening room? Which is like before a woman gets married, she has to go to a room.

    15. TN

      You said a fattening room.

    16. CH

      They call it a fattening room.

    17. TN

      Where you have to become fat.

    18. JT

      Hell yeah. [laughs]

    19. CH

      Because the girls are just naturally quite muscular, especially in, like, in the southeast, quite muscular and lithe.

    20. TN

      Okay.

    21. CH

      You know what I mean. So you know what that means. Fatness is supposed to be good, a sign of fertility. But then again-

    22. TN

      Wait, how long do you stay in the room?

    23. CH

      F- till you get fat.

    24. TN

      I love this.

    25. CH

      Yeah. Oh, I don't know. I don't know about that.

    26. TN

      Oh, wait. Okay.

    27. CH

      They kind of put a-

    28. TN

      Depends on how they're making you fat.

    29. CH

      Yeah.

    30. TN

      Is it like, is it like-

  6. 12:19 – 14:46

    Jia's Reporting and the Swing Back from Body Positivity

    1. TN

      Jia, like when did you, when and why did you start writing about Ozempic? 'Cause you were one of the first people writing about this, you know, before it became the wave, before it became the trend.

    2. JT

      Yeah.

    3. TN

      I remember there was a moment pre-Ozempic, it just wasn't a thing.

    4. JT

      Mm-hmm.

    5. TN

      And then there were whispers.

    6. JT

      Yeah.

    7. TN

      And then all of a sudden you heard Elon Musk was on it, and you're like, "Wait, what's happening here?"

    8. JT

      Yeah. Well, I think of... I kind of think of the Kardashians as, you know, the sort of weather vane for what the winds of sort of capital-

    9. TN

      Hilarious

    10. JT

      ... and, you know, like, deeply punitive, technologically based beauty standards.

    11. TN

      [laughs]

    12. JT

      You know, it's like you can literally see written upon their bodies what women all across the country are going to then do, you know, in this really kind of amazing, terrifying way. And so, you know, I, I think, I, it was, it was like that. No one had ever heard of it, and then, you know, I started to hear about there was this shot that was intended for treating, um-

    13. TN

      Diabetes

    14. JT

      ... chronic conditions-

    15. TN

      Yeah, yeah

    16. JT

      ... caused by type 2 diabetes that women in Hol- like, you know, some women in Hollywood were taking, and their bodies were suddenly visibly changing. And it was interesting to me to begin with because, you know, like I, I grew up in, you know, the '90s, the early 2000s in, in sort of very conservative Houston, Texas, like deep within this hegemonic, like white dominated, the age of sort of the only people that are beautiful are like Paris Hilton, you know, and Britney Spears, and that was the body prescribed. And then we had the sort of Obama-era, you know, grand democratization of culture, which included, you know, people started to have open dialogue about how you could be healthy at every size, which you can, right? And that all sorts of bodies are beautiful. And I always felt a little skeptical of the sort of Dove ad body positivity thing for reasons we can get into later. But I said, "Okay, finally, like we have reached a new era."

    17. TN

      Yeah.

    18. JT

      Maybe it will unlock the sort of hold that white diet culture has had on America since the '20s, basically. And then this happened, and it was like, oh, oh no. [laughs]

    19. TN

      We're back.

    20. JT

      Oh no, we're swinging.

    21. CH

      Yeah.

    22. JT

      I mean, that was my in- initial interest. It was like I thought we had already changed, that we were gonna stay on this train of, of, you know, openness and, I don't know. And, and, and the sharp swing back, um, and what that meant for the way people talked and thought about beauty I thought was extremely interesting, and then so I just started tracking it.

  7. 14:46 – 20:01

    Beauty vs. Health and a Moral Way to Talk About Weight

    1. TN

      So here's the thing I, I wonder, though. Do, do you think that utopia can ever exist? And y- you know, because I, I mean, like, I don't know, sometimes I- I'm a little simple in this thinking in that I go, we're still animals, and animals also judge each other based on some physical aspect-

    2. JT

      Yeah

    3. TN

      ... or, and, and we're no different. I just think what happens to us that's particularly different is there are tastemakers that exist in different spheres who sort of like pull the levers-

    4. JT

      Yeah

    5. TN

      ... to decide, like how we define where the, the, you know, the Overton window of beauty actually exists-

    6. JT

      Yeah

    7. TN

      ... and where the one of health is. Do you think that our conversations these days lie in beauty, or do they lie in health, or is it people using health to masquerade their views on what they think beautiful is?

    8. CH

      Yeah. I think it's like the latter, right? And I think even if we were in this utopia where we accepted everyone's bodies, like I think The Economist did a piece about, talking about the fact that, like, women's salaries are pegged to what they weigh.

    9. TN

      Yes.

    10. CH

      And if you lo- if you lose a certain amount of weight, your salary goes up.

    11. TN

      Yeah.

    12. CH

      So it's just like the market forces, for whatever reason, we know the reasons, reward being skinny.

    13. TN

      And by the way, did you see the opposite is true for men?

    14. CH

      Interesting.

    15. TN

      The more a woman gains in weight, the more her salary goes down. And with men, the bigger they get, like the rounder ... I guess it's like because you look like King Richard or those vibes. [laughs]

    16. CH

      [laughs] Like Henry VIII.

    17. TN

      He's like the more like- Henry, yeah. It's like those vibes.

    18. CH

      Yeah.

    19. TN

      Like, "Graah, to all my subjects"

    20. CH

      Yeah.

    21. TN

      The more, like, bulbous you become, the, your money actually, like people don't penalize you at all. They're just like, "Yeah, this dude knows what he's talking about."

    22. CH

      Yeah.

    23. TN

      "He ate a pig that had an apple in its mouth."

    24. CH

      Look at that. Yeah. And I think for women it's always gonna be you are judged. That connection between morality-

    25. TN

      Yes

    26. CH

      ... and beauty and health, I think people just collapse it into one. They don't see them as different things, even if they use the language like, "Don't you wanna be healthy?"

    27. TN

      Right.

    28. CH

      You know, when they're, but they're t- saying to someone, "Don't you wanna lose weight?" And I think it's gonna be harder for women to escape that, unfortunately.

    29. TN

      So okay. Let, let me ask this question now. Um, is there a moral way for people to engage in conversations about weight, weight loss, health, and how it pertains to people? Like Jia, you know, you've done a lot of research in this. Christiane, I know you've talked about this for, for years. But like where do you think we find the, the ... Where do you think we find the sweet spot?

    30. JT

      I think it exists, and I think probably the people that are the best at it are fat people, you know? I think that there are a lot of people that have been, that have spent, you know, that have, that's been, like th- this cultural discursive work in the last 15 years to establish a whole vocabulary for how we could be talking about these things, right? And it, and it's incredibly difficult in reporting this piece even and in talking to people, like I think that the fear of fat and the bias against it is, it would come out quite casually. I'm sure it's built into me in some way, you know, in the way that I think about it. But I think that there is a way to get some basic facts on the table, right?

  8. 20:01 – 25:50

    How GLP-1 Drugs Work and What They Reveal About Compulsion

    1. TN

      Let's, let's talk a little bit about the drugs themselves, like the actual way that the drugs work. I, I was lucky. I, I had a conversation with, um, the CEO of Eli Lilly and, and some of the scientists who work there.

    2. JT

      Mm.

    3. TN

      'Cause I wanted to understand-

    4. JT

      Yeah

    5. TN

      ... what is this thing. So I'll, I'll break it down. And Jia, I know you're the expert, so please jump in. A few decades ago, there was a scientist who discovered that there was a, essentially a hormone that was released into your body that told your body you were full, right? And they wanted to study what this, this, this thing was. GLP-1 they called it. 'Cause they never called it easy things like Patrick, which they should-

    6. JT

      [laughs]

    7. TN

      ... 'cause then it would help us. If scientists were just like, "We're gonna call this Patrick," then we all know what Patrick is. But anyway, scientists found GLP-1. This is something that makes your body feel full, makes you feel satisfied, I think is a, is a more important word. And they wanted to study it, but they couldn't. They're like, "All right, how do we figure it out?" They found a lizard. They always find a lizard. And they're like, "We can reproduce this." You fast-forward, they realize that this drug can help people who have diabetes.

    8. JT

      Mm-hmm.

    9. TN

      Then they're like, "Okay, this is for diabetes. This is for diabetes." But then someone goes, "Wait a minute, it's not just diabetes. People are losing weight."

    10. JT

      Yeah.

    11. TN

      And they're like, "Huh." And then like all drug companies, the same way they did with Viagra, they were like, "We're trying to help people with their blood pressure."

    12. JT

      [laughs]

    13. TN

      And they're like, "Have you noticed that all these people are getting erections?"

    14. JT

      [laughs]

    15. TN

      And they're like, "Everyone, stop. We don't give a shit about blood pressure. We've just struck gold." But what I found most fascinating about this is to what you said, Christiana, when we started the conversation. If we have the conversation about weight loss, I feel like we're missing something bigger that we're discovering right now, and these drugs are helping us understand something about self-control-

    16. CH

      Yeah

    17. TN

      ... and how it has been robbed from us. Because people take Ozempic, Zep or whatever, right? The first thing they do is they don't eat as much. We knew that would happen.

    18. CH

      Yeah.

    19. TN

      Okay, fine, it's working. But then people go, "Oh, I don't drink alcohol the same way anymore."

    20. CH

      Yeah.

    21. TN

      "Uh, I don't watch as much TV. I don't use social media. I'm not even on my phone as much."

    22. CH

      Yeah.

    23. TN

      "I don't gamble as much." And you're just like, wait, wait, wait, wait. What is hap-

    24. CH

      Compulsive shopping.

    25. TN

      Yeah.

    26. CH

      I, I read about that.

    27. TN

      Yeah.

    28. CH

      Someone who stopped them compulsive shopping.

    29. TN

      And so, you know, I almost wonder if in discovering this solution, have we now exposed all of the poisonous problems that society has unleashed upon itself?

    30. CH

      Yeah.

  9. 25:50 – 28:04

    Corporations, Individual Blame and Willpower

    1. TN

      I, I think, I think something we, we, we also have to consider is this: One of my biggest beefs is, is that corporations have found ways to create messaging that tricks people into-

    2. JT

      Yeah

    3. TN

      ... making the corporation's problem their problem.

    4. JT

      Yeah.

    5. TN

      In the same way oil companies scammed us into thinking that recycling was our job, right?

    6. JT

      Mm-hmm.

    7. TN

      And they make it about individuals.

    8. JT

      Right. Yeah.

    9. TN

      "You need to recycle."

    10. JT

      Yeah.

    11. TN

      No. No, no, no. Let me tell you something. Recycling is not our job.

    12. JT

      Mm.

    13. TN

      The job is to not make the thing in the first place. We take for granted how many times, and we ignore how many times we get tricked-

    14. JT

      Mm

    15. TN

      ... into believing that it's us, and I think the same thing has happened with food and indulgence in America and in the rest of the world.

    16. JT

      Yeah.

    17. TN

      Is where, you know, to your point, Jia, is like people have been made to feel guilty about their appetites and about their indulgence and about their ... And then we create this world where we now fight with each other. Why are you letting your kid eat so much? Well, I can't ... Well, it's my child. It's their appetite.

    18. JT

      Yeah.

    19. TN

      I don't wanna stop. I don't wanna make them guilty. And no one seems to be ask- not no one, but, like, I think sometimes we forget to ask the question, like, wait, w- why is it impossible for your chil- your child to stop eating those chips? If we live in a society where we blame people for the addiction catching them but don't ask who's imposing the addiction upon them, then I feel like we're playing a game of Whac-A-Mole, telling everybody in society-

    20. JT

      Yeah

    21. TN

      ... that they need to be better, when in fact we're ignoring the fact that ... You know?

    22. JT

      Yeah, for sure.

    23. TN

      These Ozempic-type drugs, as much as we're focusing on them as the conversation, I feel like they've exposed this underbelly of addiction that we've-

    24. JT

      Yeah

    25. TN

      ... all allowed.

    26. CH

      Yeah. I think, Trevor, what you're getting at is that we've always thought all of these things are just a question of willpower.

    27. TN

      Yes.

    28. CH

      And it's not about-

    29. TN

      And, and responsibility

    30. CH

      And Jia, I think your piece touches on that as well.

  10. 28:04 – 30:21

    Class Divides and the Pressure to Conform

    1. TN

      Yeah, yeah. So let, so let's talk a little bit about, about, um, you know, if we move beyond appetites per se and, and we, we, we come back to the, the world of these drugs, what they're doing and, and how people are, are, are using them. Have we now entered a new world, you know, Jia, to what you're saying, where this will become another instance of the haves being able to escape another ill in society? There's, there's a ... It's almost like we've put a price on people being able to evade this thing, this net of addiction that has been cast upon everybody.

    2. CH

      Also, I think, Jia, just to, to hop in, it's like we're talking about Ozempic so much because people lose weight, and we think-

    3. TN

      Yeah

    4. CH

      ... losing weight is the better thing to do. And now it means that there'll be a class of people that can do that and-

    5. TN

      Yes

    6. CH

      ... not have to go through the cruelty of fatphobia, and it's gonna be the people with money that can perhaps escape that everyday cruelty, and then the people that don't can't do that.

    7. JT

      Well, yeah. I think one of the things that does seem maybe meaningfully new about this is that the beauty standards of the last decade seem to me to be this really kind of insidious arms race between, like, digital enhancement and then technological alteration-

    8. TN

      Mm-hmm. Mm-hmm. Mm-hmm

    9. JT

      ... to match digital enhancement, and then you digitally enhance more and then use technology to further sort of shape, inject-

    10. TN

      Yeah, yeah

    11. JT

      ... discipline, whatever. Like, the thing that really scares me is the idea that an unaltered body or face is aberrant or deviant and sort of-

    12. TN

      Hmm

    13. JT

      ... unacceptable. That ... Like, that's the thing that I find, um, really, like, existentially terrifying.

    14. TN

      Damn. Yeah, you-

    15. JT

      Yeah

    16. TN

      ... it's almost like, um, in those, um, you know, when you watch those cyberpunk future movies-

    17. JT

      Yeah

    18. TN

      ... uh, where, like, people are judged because they don't have cybernetics now, you know?

    19. JT

      Yeah.

    20. TN

      So everyone has ... Yeah, and that's, that's an interesting way you've just put it now. It becomes judgment because, like, well, why aren't you making-

    21. JT

      Yeah

    22. TN

      ... yourself better?

    23. JT

      Yeah. And I think plenty of people who are fat and healthy and perfectly happy in their lives are, are, are now hit with this sort of unbearable wave of, like, well, why don't you just get the little jab, you know?

    24. CH

      Yeah.

    25. TN

      Hmm. 'Cause now it seems like you're actively making a choice to not be healthy or to want-

    26. JT

      Like, why, why wouldn't you con-

    27. TN

      Yeah

    28. JT

      ... why wouldn't you conform, right? Like, it's, it's-

  11. 30:21 – 34:09

    Celebrity Weight Changes, Body Positivity and Body Neutrality

    1. TN

      So h- here's a question I do have. I'm gonna throw a few things at you, and everybody-

    2. JT

      Go for it

    3. TN

      ... trigger warning. Everybody-

    4. JT

      Safe space

    5. TN

      ... trigger warning, every- J- Jia, trigger warning. And feel free to plead the fifth. No one needs to speak.

    6. JT

      Okay.

    7. TN

      I don't wish to bring anybody down with me, all right? I'm the pilot who will tell you to jump out of the plane before I take it on this dive. So- Let's, let's, let's get, let's get messy with a few of these, of these moments in these conversations. Sometimes it feels, and I'm speaking for people and, 'cause I generally don't think I struggle with this as much myself, but I do know that there's a little inconsistency or, or what people perceive as a, as a flipping of a narrative when a celebrity ... Let's just deal with celebrities. Celebrities will come out, they go, "I love my body. My body's great." They build fans based on that body and that body being great. Fans are like, "We love your body. Your body's great. We're all with you." And then the celebrity pops out, like after six months they've just disappeared-

    8. CH

      Yeah

    9. TN

      ... and they come back and they've got a completely new body, and then they're like, "Hey, I've got a new body."

    10. CH

      Yeah.

    11. TN

      And then people are like, "Yo, what the ... Wait, what, what just, what just happened here?" And they're like, "No, I love this body because actually I wasn't healthy and I wasn't happy and my knees were hurting me," whatever it might be. And then they get a m- a level of backlash from the people that were body positive who are now sort of anti-body positive because now their-

    12. CH

      Yeah

    13. TN

      ... body's gone a different way. D- does this make sense? And it almost feels like i- in the same way everything else in society has become like a, a cult, it's like it sometimes feels like we are not working towards a place where people can be the way they wish to be. We're working to a place where people can be the way we wish them to be, and then if they deviate from that, we kick them out. Do you get what I'm saying? Like look at how many people were angry at Adele for losing weight.

    14. CH

      Yeah.

    15. TN

      Angry at her. Jennifer Hudson, angry at her.

    16. CH

      For sure.

    17. TN

      Do you know what I mean?

    18. CH

      I, I, you know, not to speak on behalf of fat people or fat women at all, but I think there's s- so little imagery of women that had perhaps Adele's old body or Jennifer Hudson's old body. There was something very comforting for people to see a fat woman who's thriving and have this incredible career.

    19. TN

      Right.

    20. CH

      Um, and there's like this disappointment or resentment when that celebrity then changes their body. I, I speculate some of that.

    21. JT

      Right. I, I mean, I, I mentioned earlier like the, the whole Dove, every, you know, everyone is beautiful, like the big- the, the beginning of the sort of corporatized body pos- positivity movement. It, it seemed dangerous to me immediately because it seemed like, no, like actually beauty is this sort of a- arbitrary assignation based on people's conformity to market forces.

    22. CH

      Yeah.

    23. JT

      It's not like a, it's not like a spiritual moral good. Like it was this whole thing that was really important to say that everyone was beautiful, as if to say everyone is good. And it was like, no, no, no, everyone is good and worthy, but perhaps that has nothing to do with beauty.

    24. TN

      Oh, wow.

    25. CH

      Yeah.

    26. TN

      That's fascinating.

    27. CH

      Yeah.

    28. JT

      And it seemed to me like perhaps it is just much more important to say like everyone is worthy and beauty is not as important as we ever thought it was at all. Like it's just this thing, right?

    29. TN

      To, to dumb that down, in a way it's, it's almost like what you're saying is ...

    30. JT

      It's body neutrality, yeah.

  12. 34:09 – 38:12

    Functional Health Over Weight: The LeBron Example

    1. JT

      so convoluted.

    2. TN

      So, so here, okay. I'll s-

    3. CH

      So I just wanted to throw Tressie in.

    4. TN

      Yeah. Oh, definitely.

    5. CH

      Tressie McMillan Cottom, brilliant sociologist. She talks about structural ugliness, right?

    6. TN

      Yeah.

    7. CH

      This, the, the thing about-

    8. TN

      Yeah

    9. CH

      ... like how beauty is like this structural concept.

    10. TN

      Mm-hmm. Mm-hmm.

    11. CH

      And like even though you can feel beautiful on an individual level, structurally if you are dark skin, fat, and your body-

    12. TN

      Right. Right, right

    13. CH

      ... size, you are seen as ugly. And I think what Ozempic is getting at is just like it's this cure to that structural ugliness of weight.

    14. TN

      That's interesting.

    15. JT

      Right.

    16. CH

      And that's what a lot of thinkers are trying to resist, that like why have we made being bigger structurally ugly?

    17. TN

      So, you know, I ... So there's two things. Okay. First of all, I think we shouldn't forget, and this is why it's hard to have these conversations in society, I believe, because people weaponize certain parts of conversations-

    18. CH

      Yeah

    19. TN

      ... and use it as a cudgel against others. Let's take it to like athletes. LeBron James had to lose a lot of weight, or he decided rather.

    20. CH

      Yeah.

    21. TN

      LeBron James decided to lose a lot of weight. LeBron said, "If I want my knees to take the pounding that they're gonna take, me jumping, me, it is easier if I carry less weight. It is easier for me to run across a court if I carry less weight." I think the thing we shouldn't take for granted is, is like I almost wish there was a world where we could, we could all go into good, uh, good faith conversation land.

    22. CH

      Yeah.

    23. TN

      You know, where we can talk about health, but it not be used against somebody else in like a shitty way.

    24. CH

      Yeah.

    25. TN

      A doctor can say, "Hey, you do wanna try and, and work out as much as possible 'cause it's good for your heart." But then someone's not gonna-

    26. CH

      Yeah

    27. TN

      ... point to someone and go like, "You see? You piece of trash."

    28. CH

      Yeah.

    29. TN

      But it is important for people to know like the lifting of weights, just like, just like resistance training has been shown to be one of the most important factors in longevity. And not, I'm not saying living long, I'm saying living as a functional person-

    30. CH

      Yeah

  13. 38:12 – 40:51

    Visible Fatness, Judgment and Rising Weight Bias

    1. TN

      what I, you know what I also realize as we're speaking about this? Whether we like to admit it or not, humans are generally judgmental, right? We hold and cast judgments upon other people because it either makes us feel like we are doing well-

    2. CH

      Yeah

    3. TN

      ... or it makes us, whatever it is, there's reasons we do it, right? I think we shouldn't ever take for granted the fact that fatness is one of the few things that somebody can see on you that tells them something about you in some way, shape, or form. It, you don't know what it's telling you, but you can see it.

    4. CH

      Yeah.

    5. TN

      But, like, think of it this way. If somebody has a, has a gambling problem or likes gambling or y- whichever way you wanna put it, that pers- you can't tell.

    6. CH

      Mm-hmm.

    7. TN

      If somebody drinks a lot of alcohol, is addicted to alcohol, or likes alcohol, drinks on occasion, you can't tell. Do you get what I'm saying?

    8. CH

      Yeah.

    9. TN

      And I think what's, what's strange about fatness is it is one of the few things where people from far can just assume many things about you because they can, like, sort of see it from the outside.

    10. CH

      And, and not just make judgments, but express those judgments.

    11. TN

      Yes.

    12. CH

      But I think with fat people, we're very prescriptive.

    13. TN

      We are.

    14. CH

      Like, and sometimes it's the-

    15. JT

      Well, and we see that body as, like, this is a sign of a problem.

    16. CH

      Yeah. Uh, be like, "Are you sure you want to eat that?" is a thing said to people who are-

    17. TN

      Mm-hmm

    18. CH

      ... fat or-

    19. TN

      Mm-hmm

    20. CH

      ... like, I, I saw a TikTok. A woman was, like, being fat and exercising, as people on the street going, "Go you, I'm so proud of you." And she's like, "I'm just on a run." [laughs]

    21. TN

      [laughs]

    22. JT

      [laughs]

    23. CH

      Like, why do you feel this need to, like, encourage me? The people trying to be nice, but it, like, what's under that-

    24. TN

      Yeah, yeah

    25. CH

      ... is like you're someone that should be pitied and-

    26. TN

      Yes

    27. CH

      ... needs my encouragement-

    28. TN

      Yeah

    29. CH

      ... in a way that's kind of infantilizing you. Um, and I think that's the thing about fatphobia. We just feel like we can say anything to people who are fat, you know?

    30. TN

      Yeah.

  14. 40:51 – 48:01

    What Now: Long-Term Unknowns, Possible Shutdown and Politics

    1. TN

      I, look, I, I think, I think, you know, a- as, as we said in the beginning of this conversation, this feels like a, an inflection point and a moment where the conversations we have going forward are going to continuously evolve because now there's been a new agent that's been introduced.

    2. JT

      Yeah.

    3. TN

      I feel like we're at, we're at that point now with these Ozempic-

    4. JT

      Yeah

    5. TN

      ... type drugs, is they're now making us ask questions that go far beyond the questions that we've sort of been comfortable living in for a while.

    6. JT

      Mm-hmm.

    7. TN

      And those questions are, what is health? Are we trying to promote health, or are we trying to promote our moral superiority upon other human beings?

    8. JT

      Yeah.

    9. TN

      Are we trying to, you know, run around shaming people because it makes us feel better? Why do we even feel, as you said, Christiana-

    10. JT

      Yeah

    11. TN

      ... that we have the right to do these things? And then with children, what does it mean for the future? 'Cause again, the big thing I think we also have to include in this is we don't know what the very long-term effects of these drugs are-

    12. JT

      No

    13. TN

      ... because they're so new. I mean, if you think about mass adoption for a long period of time for people who haven't had insulin issues, for people who don't have diabetes, we don't know. And I think that's something people always have to be careful of is realizing that we don't know. What we do know is how we can treat people today. And so, um, Jia, what now from your perspective? I'll break it down in two parts. What, what do you think we're going to see now? And then what would you hope we would see now that, that, that maybe we wouldn't and maybe we will?

    14. JT

      What I thought originally about the best case sort of cultural effect of this You know, the fact that this technology exists could be is that we could kind of remove the moral valences from every part of this conversation possible, right? That we could understand that metabolism and the hormonal preset that leads your body to be a certain weight and the, that all of it is much more sort of arbitrary and, and, and kind of morally neutral. And, and like you said, Christiane, like a, a sign of just all of the other things environmentally that you're swimming in. Like, I think that is the best thing that something like Ozempic can do is just, is lead people to the understanding that if you can radically change people's relationship to fullness by, by one injection-

    15. TN

      Mm-hmm

    16. JT

      ... then maybe it wasn't something that everyone should have been judging people.

    17. TN

      Mm.

    18. CH

      Yeah.

    19. JT

      You know? Then, then very clearly-

    20. TN

      Damn

    21. JT

      ... it's not something that-

    22. CH

      Yeah.

    23. TN

      Damn

    24. JT

      ... that, that deserved decades of moral, a century, a, like, a full century of, of moral condemnation-

    25. TN

      Yeah

    26. JT

      ... by, like, the entire beauty industry.

    27. TN

      Yeah.

    28. JT

      Right? Of course, it doesn't seem to have led there at all, and I think, um... I mean, I have no real predictions other than the fact that, you know, one thing about GLP-1 drugs is you, in the vast majority of cases, as soon as you stop taking them, your, the, your body reverts to how it was before.

    29. TN

      Yeah.

    30. JT

      So the, the weight loss lasts as long as you take them, basically.

Episode duration: 48:01

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