Much has been made of Ozempic face. The eponymous visage resulting from monthly injections of a weight-dissolving amino acid has generated endless fodder for social media and the tabloids, which have revelled in the grotesqueries of John Goodman, Robbie Williams and the poster child of the gaunt and ghostly look — Sharon Osbourne. There’s nothing quite as stimulating of schadenfreude as the tell-tale sagging of fat-starved skin, a calamity that might be rectified by fillers such as Sculptra and Restylane, by drinking two quarts of water a day, or, God forbid, by eating lunch.
Despite the risk of public shame and the menace of non-reimbursable insurance cost ($1,349 a month for Wegovy and $1,060 a month for Zepbound), steep demand has sent the stock market valuations of Novo Nordisk and Eli Lilly through the stratosphere of the S&P 500. Not since the debut of Viagra has there been such hype in pharma, raising questions as to whether Eli Lilly and Novo Nordisk can produce enough of the magical elixir, as demand outstrips supply.
As competitors flood the field — most recently, Amgen’s MariTide, yet another semaglutide already in Phase 2 trials — Goldman Sachs analysts estimate that by 2030, the market for such drugs will be worth in excess of $100 billion. The lion’s share will be sold in America, where for hundreds of years the seemingly simple alternative — to eat or not to eat — has been a national obsession. Washington Irving, America’s first author whose fame crossed the Atlantic, invested a great deal of his literary capital describing the young republic’s utter lack of proportion when it came to food. His History of New York, published in 1809, asserted that the earliest political leadership of Manhattan was a Dutch “colony of huge feeders”, in which the burgomasters were “generally chosen by weight”. Their chieftains were “the best fed men in the community; feasting lustily on the fat things of the land, and gorging so heartily on oysters and turtles, that in process of time they acquire the activity of the one, the form, the waddle, and the green fat of the other”.
Today, Americans are no less obsessed with weight. Such disses of the Dutch were the Federalist equivalent of present-day body-image disputes over Ozempic, typified by the hysterical row last month over Barbra Streisand’s intervention as to whether or not Melissa McCarthy was shooting up with the serum.
Despite the morass of scientific explainers, confessional essays and philosophical think pieces, all this food freak-out should be filed under “old news”. Americans have been gaining weight for as long as they have been trying to lose it. Indeed, a few hundred miles north of the turtle-gorging Dutch of Manhattan, the Puritans of Massachusetts were gauging their status as chosen people through their gastrointestinal tract, as Samuel Sewall’s noted in a diary entry from 1690: “Mr Torrey is for a fast or at least a fast first. Mr Willard for a Thanksgiving first. Mr Torrey fears lest a Thanksgiving should tend to harden people in their carnal confidence.”
Thus did binge-eating, spiked with self-induced starvation, find its earliest footholds in the land of milk and honey. The great Puritan divine Cotton Mather outlined the toxic paradox when he asked: “Has not my soul as much amiss in it as my stomach?” Mather’s unflinching investigations of depraved digestions came to all-too recognisable conclusions.
In the case of apoplexy, vomits do a deal of good.
In the case of vertigo, vomit.
In the case of hiccups, vomit.
In the case of nightmares, vomit.
In the case of a coma, more vomits …
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SubscribeThis was a really enjoyable essay, fun and informative.
I feel cheated. Each year I gain a little more weight, although I’m a fairly moderate eater. I must bear the consequences while enjoying little of the sin.
Next time someone says, “Oh, you’ve gained weight,” I’d love to reply, like the early leaders of Manhattan, “Aye, last night I had twenty oysters and a turtle for dinner!”
Butcher smaller turtles?
I like the Indian take on things. In India, if you put on a bit of weight, people say “You’re looking prosperous”.
Sadly now in emulation of the West, ” size zero” is the new fad!
For the life of me I don’t understand why the whole world decided to try to emulate us Americans. I suppose everyone follows the lead dog, but a more sober examination of America would reveal it has a history almost unique among nations and civilizations. This entire article links American eating habits pretty well with the abundance and freedom of America’s establishment and westward expansion, which occurred exactly once and is unlikely to ever occur again.
The growth of the suburbs in the 1950’s effectively added a lot of space that America filled with kids – the baby boom generation.
Just came back from a visit to the States. My goodness, the food!
The ice cream got me the most. Pleasant roadside ice cream vendor. Rural New England. We look at the sizes. Cup: 1 (enormous) scoop, Mini-kiddie: 2 (enormous) scoops, Kiddie: 3 (enormous) scoops; Small: 4 (enormous) scoops; Large 5 (enormous) scoops.
Holy cow! We shared a cup among two people. But the Kiddie portion is what the kids were ordering. So much fat and sugar!
They have this thing called a Monte Cristo sandwich which is deepfriend and full of turkey and whatever passes as bacon in America. It has about three sorts of cheese, stuck together with the bacon and turkey with injections of further cheesy goop, and for reasons unknown to me, a layer of raspberry jam.
The Calorie Count of Monte Cristo must be stratospheric.
And it is delicious. The trick is to not eat one more than a couple of times per year.
If I am honest, it was the blandest thing I ate on my visit, and there was a lot of bland food.
Only tasted of salt and sugar.
Where might own find such a thing? What store? In the interest of science of course.
They’re popular among people in Portland who wear berets, I know that. But I believe they started in California.
They’re not hard to spot . . . look for a mound of deep-fried cheese-encased bread, about a foot high.
I haven’t had one in 40 years, but yum!
From fastest gun to fastest food
From Wild West to Wild Waist
From East to West, to eat to waste
From North and South, to fork and mouth
The drugs don’t work, they just make it worse.
This is an excerpt from the UK PM’s “speech on security” yesterday:
“… you can see the opportunity too in healthcare, giving people longer, healthier lives. In Denmark, NovoNordisk created the Ozempic drug which is not only helping to tackle chronic disease globally, but singlehandedly grew Denmark’s entire economy last year.“
And the political class wonders why they are losing the public’s trust!
Not true. Studies are revealing that they are effective. You have a negative psychology.
I took those jabs for over a year having developed type 2 diabetes during the pandemic in Spain. They had an authoritarian 2-month lockdown where you could be fined for walking the neighbour’s dog if your IDs didn’t match. It pushed me over the edge and I had to start taking daily insulin injections.
So the skinny drug meant a once-a-week jab on top of the pills. And another 160 euro a month. My medical costs in Spain were coming to over 350 euro a month including private insurance.
The jab worked instantly and I lost 12kg in 2 months. Then it tailed off and at least 5 kilos returned when I lost discipline over food. I levelled off though thanks to a fair bit of sport as well as regular exercise.
Now I take the pill version of the gluatides and the Spanish health service covers that where they won’t pay for Ozempic. But that drug and eventually its equivalent jab dried up in Spain due to over-demand elsewhere; the pharmacies just couldn’t guarantee the supply chain and like an addict, I really needed the insulin from it.
But unlike insulin, sticking it in my belly felt really toxic. The pills feel a little odd too; I would not recommend either for the non-diabetic over the long term. Better to become type 2 than developed a terminal liver or kidney condition.
Entirely agree. Was given the drug for a galloping case of diabetes, but the side effects are very disturbing.
Nothing to beat good old fashioned methods of weight control- good diet, exercise and least stress.
It’s a different matter that most high pressured jobs nowadays create conditions quite the reverse-which is why short term solutions like Ozempic are being resorted to.
It doesn’t have to be that way. There are lots of benefits including heart health and mood.
It’s worth investigating the keto diet: it’s especially for those, like me, that gained a couple of pounds each year for 15 years. That was two stone that I didn’t have.
Though it’s not for everyone, it worked for me, someone who is active but not pursuing a highly energetic sport. I am back to my weight that I had before. There’s plenty of literature and videos on it.
The diet is based on the Biochemistry of the human body, so there’s no set diet, though the aim is to keep Carbohydrate intake below a level so the body utilises fat properly. This needs some medical knowledge to understand all the ramifications of the changes, especially if underlying issues are already present. There are other aspects, like regular exercise, that can be very beneficial, and enjoyable, especially when there’s some improvement.
So seek medical advice, but beware there’s also an intriguing history, with Ancel Keys and his cherry picking of data for a low fat diet, to which parts of the NHS appear wedded.
Yep that’s the longer term answer, but I found a one month course of Wegovy was enough of a crutch to get off the carbs and sugar and get into ketosis.
Keto diet can be dangerous.high protein caused kidney etc damage .a balanced diet is a good plan .wr need carbs
Interesting that of the three people cited as horrific Ozempic Face examples, two are Brits.
Why is it interesting? They both live in America and are Americanized.
Is this an AI generated effort of cultured, historical, topical writing on American food habits? It is bizarre and won’t hold me as a subscriber.
Hey now, don’t do Davy Crockett dirty like that. Much of his political career life he spent fighting Jackson on the forced removal of Native Americans. While as a young man he was in the army during some of the unrest with native tribes, he was noted to have had distaste for it. He was never known for going out and killing natives on the regular (surprising perhaps given several members of his family were killed by them).
Good on you, Heidi. Fred was virtue-signaling, at the expense of historical accuracy.
“The evangelist John Wesley advised those who suffered from scurvy to “live on turnips for a month”.”
To be fair this is just primitive medicine, not dieting, and probably would cure scurvy – caused by a lack of vitamin C – although it might introduce other problems due to lack of variety.
One of the problems I can foresee is that after ten days of nothing but turnips scurvy might seem preferable.
The epitome of the first-world problem. Imagine a society in which obesity is a bona fide health concern. Our problem is not diets; there are a million of those. It’s lifestyles. Constantly eating garbage with little to no activity leads to an obvious conclusion, one that surprises nobody.
Put down the phone, put down the game console, and step away from the laptop. Go outside for a few minutes. Let the sun shine on you. Soak up some vitamin D. Move about a little. Find some form of activity. Make it one that you enjoy so that you keep doing it.
If the gym is not your thing, save your money. But do something. Anything that involves elevating your heart rate, breaking the occasional sweat, and getting the blood to circulate a bit faster.
There is nothing wrong with being a foodie. Or visiting the occasional buffet. Or even a hot dog eating contest. But the last two are occasional things, not constants. And eating is among life’s pleasures. Even in countries where obesity is not commonplace.
That’s unsolicited advice that we didn’t need because it’s so obvious. However, there are many folk for whom exercise is prohibitive, like those with degenerative arthritis.
The comment that Neanderthals ate mostly roots and leaves is completely incorrect. Neanderthal was omnivorous but primarily ate meat when it was available. Remember the Neanderthal lived mostly during cold eras and not so much in the temperate times. They lived in the cold and had large brains so required a lot of calories from fat and protein. There probably weren’t any over weight Neanderthals.
This is what your really need to know:
https://www.everydayhealth.com/diabetes/every-ozempic-side-effect-explained/
You take it for the rest of your life to keep the lard off and suffer for it.
Far better to just stop eating Ultra Processed Food with all sorts of chemical additives and only eat food that is minimally processed and has only two or three ingredients at most.
PS It is authorised for use in the USA – but not the EU where it is manufactured – hence the big push to offload it across the ocean.
Semaglutide has been used by diabetics for many years with little problem. It saves lives.
I have no idea if this headline article has a point. Perhaps the author was trying to convey his distaste for consumerism: grotesque waste in food with grotesque waste in words. I don’t know, maybe you can emote your way into a faux temperance through disgust. But it will remain a fake temperance that has no connection to life. For that you at least need a point.
I don’t think the ‘Smoothies Bible’ etc. is meant as quasi spiritual just because it has the word Bible in it. Bible here is a synonym for something like ‘definitive compendium’
what was Europe consuming in the 19th century. Aside from raw raccoon of American Indians what were the Africans consuming? It’s a joke that the Chinese eat anything. Maybe all the restrictions of kosher eating kept Jews in Eastern Europe alive apart from the pogroms.
“Not since the debut of Viagra has there been such hype in pharma…” Hello? Have you already forgotten about the repeated Covid jabs,MANDATED by law? Love everyone’s selective memories.
When I was pushing up towards 80 years old I thought it was time to upsize and we moved from a 2 story house to one on 3 floors. For the last 12 years I have been averaging about 10 flights of stairs ascended per day. Surely that must have kept my weight down. Using the 3600 kcal to 1lb weight conversion given I find that all that stair climbing over 12 years means that I am about 5 lb lighter than If I had moved to a bungalow. Give me another 20 years and it will be a stone.
All you need to know is the number 3600.
That number of calories equates to about one pound of body weight.
Burn 3600 calories more than you eat and you’ll lose a pound. Eat 3600 more than you burn and you’ll gain a pound.
Everything else is just marketing hype based on targeting people who lack the necessary self control – or believe they do.
Surely this headline should have been “Imperial DIET”!
I once lost a fair amount of weight and when I ran across an Australian friend I hadn’t seen in months he asked if I had “…suffered a puncture?”
Great essay. Thanks. I had no idea my Fellow Americans were such gluttons all along. I fear I’ve been shirking my Patriotic Duty! Looks like I’ve got some catching up to do.
Far too many words. The author is suffering from a surfeit of words.