What Now? with Trevor Noah - The Ozempic Obsession with Jia Tolentino (ARCHIVE EPISODE) [VIDEO]

Episode Date: January 2, 2025

Happy New Year! To get the year started off right, we’re re-publishing one of our favorite episodes from 2024. Trevor and Christiana chatted with Jia Tolentino in May of last year; 8 months later, and Ozempic is still a hot topic. 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. New Yorker writer and cultural critic Jia Tolentino joins Trevor and Christiana to give context on the media circus surrounding weight loss drugs, and how Ozempic is changing the conversation around fatness in America. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hey, what's going on What Now listeners? Happy New Year to you and yours from everyone here at the What Now team. I hope the new year is already looking up for you. We've got so many great episodes planned for you in 2025. But today, because the team is taking some time off, some much deserved time off, we decided to bring you an episode that we loved, probably one of our favorite episodes from the season. The episode about Ozempic, you know, weight loss, our culture's obsession with diet and physical appearance.

I mean, we got as much feedback about this episode as any episode we've done so far. So for now, take a listen, and once again, happy new year. 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. Now you can listen to me. This is What Now with Trevor Noah. Christiana, nice to see you in person. Good to see you.

This is so much fun, friend. I haven't seen you in so, like, like this. I know. In the flesh. We used to do this every day. Yeah. Remember? Yeah, that was the best day.

We used to make a show every day. Every single day of our lives. I was like, I loved it. You liked it so much you quit. And left us. Oh man. I'm excited to have this conversation today because I mean, I'm excited for all conversations, but like this conversation 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 going to be important for everyone to understand. We're just going to use that as a name for, you know, these weight loss drugs. Cause it's Ozempic, Monjaro, Zeppound, WegoVee, you name it. You know, 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 want to buy it from me.

I'm available, Eli Lilly. I'm available and Nova Dorchkirch. I never know how to say their name. Yeah, I can't say their name. But yeah, I feel like we were at an interesting inflection point in society where there was a point when this would have just been shunned completely. People would be like, this is trash. You're cheating.

Yeah. And then now it's slowly, we're like, you know, it's like Republican Democrat. It's like 50-50 now. Basically, I'm like, hmm. Yeah. Where do you stand on this? Oh my God, Trevor, you can't ask me that at the beginning of the thing. Basically, I was like, hmm. Yeah. Where do you stand on this? Oh my God, Trevor, you can't ask me that at the beginning of the thing.

That's exactly where you start, at the beginning. I am pro-choice when it comes to Zen Pick. Oh, I like this. Well played. I am pro-choice. I'm pro-choice. That's who I am. So you have no moral judgment or opinion on it?

No, I've seen friends and family members on the drug and seen how it's changed their life. Okay, so this is what I'd love to know, change their lives in what way? Beyond the weight, they seem more comfortable in their body. Some of them had like back and knee issues. Some people were just like, they were struggling. Some people was like, it's kind of regulated their appetite, they're drinking less. So when you see it from that perspective, it's been like, oh, wow. So I'm pro the choice, but I'm not pro the societal pressure that I think some people feel to take.

Okay, okay, okay. Well, let's bring in our special guest today. I wanted to bring in a writer, a cultural critic, and somebody who I think has some of the most informed and then fantastic personal opinions on this topic because she has written about it. You know her work, probably from The New Yorker, if you read. If you don't read, then maybe you don't know her and this will be your introduction to her. Gia Tolentino, welcome to the podcast. Thank you for having me. Are you kidding me? Thank you for joining us. I'm going to apologize in advance for all the ignorance I'm going to bring to this conversation, but I feel like it's my purpose,

as my mother used to say when I was young, be of service. Be of service. So, if I'm surrounded by two brilliant, smart people, I have to now balance the conversation the other way around. I think you heard the question I asked Christiana. So let's start from your personal, just like purely personal, no scientific, no nothing point of view. Where do you stand when it comes to these Ozempic type drugs? I think I think about Ozempic the way I think about a lot of cultural phenomena, which is I have a lot of thoughts about it at a sort of macro level and then in terms of anyone's individual

use or not use of it other than I have a group chat where my friends sometimes send pictures of celebrities and like to make fun of the fact that I never know who it is because everyone looks so different. But yeah, I mean, I'm pro-choice too, you know? Like it's none of my damn business what anyone's doing with their own body. You know, it's interesting you bring up the thing about celebrities because, like, I've noticed now there's a, you know, we talk about the shame game and the blame. There's like, there's this game now where people see someone and they're like, oh, that's

Ozempic. Oh, that's Ozempic. I've noticed with me, depending on, like, how someone takes a picture of me, someone will be like, you're on Ozempic. I'm like, I've never lost weight. But then sometimes I go, it seems like it's become, in a way, it's almost become a bit of a slur or an insult. It's like, oh, I see you're on Ozempic.

You're one of them. Trump is the only one that you really need to, because the Republican Party doesn't have an opinion. I heard he's on Ozempic. Everyone calling him Everyone calling him, they're saying Ozempic Trump. They're calling him Ozempic Trump. Donald Trump on Ozempic? Allegedly. Please, Magga, don't come for me. Please. Allegedly. Wow.

He looks different. I believe it. Damn. I can see him now. Oh, oh, oh, oh. Ozempic. Well, 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, Christiane, I wonder if you have thoughts with little kids, right? Part of beauty is thinness, 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.

You learn as a really young child in Disney movies, in anything, beauty is really coded as morality and there's this Protestant work ethic thing, right? It's something that you should achieve through hard and punitive work and discipline, right? Yeah. And when people use Ozempic, it's like, you cheated, you skipped the hard work part. And so you got the thing we demanded of you, but now we find this a vaguely immoral thinness. Like you worked hard to achieve the right thing.

Okay, I hear what you're saying. It's funny because I don't know how it was for you growing up, but so I've had an interesting journey with weight and how I perceive it and fatness etc. 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 just be like, I mean, I don't even remember if we had that many names, but I remember all the ones for skinny people was Stix Manzanza.

That was my favorite one. Stix Manzanza, Skinny Manili. It was like there were all these names where it was just like you're a twig, you're thin, and it was a sign there of a lack of having. If you got married and you didn't gain weight, people would say that your marriage is not going well. Literally, they'd be like, is your wife not treating you well? I'm not. No, man, look at you. If I would come home from the States, and like many times I would, I'd come back from America and I'd gain weight. And so whenever I'd go home, people were like,

ah, you're looking good, man. You're looking good. America's treating you well. You're looking, Trevor, no, man, you're looking good. Look at your cheeks. You're looking good. America's treating you well. You're looking Trevor Noem, and you're looking good. Look at your cheeks. You're looking good. And then, and so where I grew up, fatness was considered like sort of a choice. And then being skinny was like, well, your life is not going well, and you're not making the right choices. For sure. So it's interesting how it flips, you know, and I'm sure it's time as well. But in both cases, it's about wealth, right? I mean, in both cases, like the thing that is valued is always the thing that's correlated with wealth

and I feel like that's been the case. You look through art history, right? The fuller figures are valued at a time when it's, you know, so wealthy, signifying plenty. And now it's signifying, you know, I got a trainer, I got a cook, I got a, you know. I mean, it's funny that you mentioned the childhood stuff that it brings up because recently it was approved for children. Oh, it was? Yeah. And there are parents who are making the decision to give.

I don't know about that. I mean, Trevor, that's your instance. It's like very visceral. You're like giving it to kids. 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 you're giving them this drug, I'm assuming it's because their weight is really detrimental to their health. Otherwise, it's weird. Like you're just trying to make like a sexy kid or something. That's weird. It's so crazy, but I meet 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, mothers... What? It's so encoded in our culture that there are mothers out there and fathers out there. Damn. You need to lose weight. I mean, most people's relationship with food don't come from themselves. They often come from their parents and their families. It's so interesting that all of this concern

about what creates health for kids always comes down to food and weight, right? And it's like, there's so much other stuff. It's like, it's housing policy. It's like, it's food stamp policy, right? It's all of these things. And it's like funding for recess and you know, and for like physical activities and for all these things because you know, there are levers you can pull to change your body certainly

during childhood and that you know, like it's not to say that lifestyle and the way you eat doesn't affect it, but you know, there are, I talked to doctors that are, the patients, their kids are in food deserts and they have nobody that can take them outside and it's not safe to be outside where they are. So they are just kind of sitting in a room all day because of this myriad of structural factors. And so the only lever to pull for these complicating conditions is a drug like this.

And this is everywhere in the world, but America in particular is very, very good at treating the symptoms and not the cause. Yeah. Like very, very, very, very good. Oh, we're amazing at it. You know what I mean? Like America will find... You make more money that way.

Yeah, America will find a lot of money to like imprison homeless people, but then won't find ways to stop people from becoming homeless. Yeah, for sure. You know what I mean? America will find... And how else would you enrich the private prison? Exactly. So this feels like one of those situations again, where it's like we are going to now approve a drug for children,

but not ask ourselves why these children would need that drug in the first place. Because, I don't know, was Nigeria the same? What was weight like in Nigeria? It's really interesting. There is this cultural, the body that's idealized is quite hard to get. So it's like 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 and you're not probably going to have that after you

have kids. I was always considered a bit too skinny. My grandma was like, I remember she's saying to me once bit too skinny. Like my grandma was like, I remember she's saying to me once, she was crying and my mom was like, why are you crying? She was just like, she calls me by my name, Emma. She was just like, who's going to marry Emma? She's got bones. You know, if you actually go to West Africa in particular, you see a lot of body diversity. So you see like really tall women, 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. You said a fattening room. They call it a fattening room. Where you have to become fat. Because the girls are just naturally quite muscular, especially in like in the Southeast, quite muscular and live. Okay.

You know what I mean? So you know what that means, fatness is supposed to be good, a sign of fertility, but then again... How long do you stay in the room? Till you get fat. I love this. Yeah, oh, I don't know. I don't know about that.

Oh wait, okay, it depends on how they're making you fat. Is it like, is it like fagwa? They're just giving you yams and thick, thick food, carbohydrates, specifically, and lots of meat to make you bigger. They're not like force feeding you, you're just eating. I mean the girls didn't want to get fat or get married, so it's kind of like... Alright, like once again, a fun Christiana story ends with oppression. I'm sorry guys, it always gets dark.

Well I want to know, Jay, like when and why did you start writing about Ozempik? Because you were one of the first people writing about this, you know, before it became the wave, before it became the trend. I remember there was a moment pre-Ozempic, it just wasn't a thing. And then there were whispers. And then all of a sudden you heard Elon Musk was on it. And you're like, wait, what's happening here? Yeah. Well, I think of, I kind of think of the Kardashians as the sort of weathervane for what the winds of sort of capital and deeply punitive technologically based beauty standards. You can literally see written upon their bodies what women all across the country are going

to then do in this really kind of amazing, terrifying way. And so I think it was like that. No one had ever heard of it. And then I started to hear about there was this shot that was intended for treating chronic conditions caused by type two diabetes that women in Hollywood, 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 grew up in, you know, the 90s, the early 2000s 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 and maybe we'll 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 no. Oh no, we're swinging.

I mean, that was my initial interest. It was like, I thought we had already changed that we were gonna stay on this train of openness and I don't know. And the sharp swing back 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.

So here's the thing I wonder though, do you think that utopia can ever exist? And you know, because I mean, like, I don't know, sometimes 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 and we're no different. I just think what happens to us that's particularly different

is there are taste makers that exist in different spheres who sort of like pull the levers to decide like how we define where the overton window of beauty actually exists 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?

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. And if you learn, if you lose a certain amount of weight, your salary goes up. Yeah. So it's just like the market forces for whatever reason, we know the reasons, reward being skinny.

And by the way, did you see the opposite is true for men? Interesting. 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. Henry VIII. Henry, yeah, yeah, it's like those vibes like, two are my subjects. The more like bulbous you become, your money actually, like people don't penalize you at all. They're just like,

yeah, this dude knows what he's talking about. He ate a pig that had an apple in its mouth. Look at that. Yeah. And I think for women, it's always gonna be, you are judged, that connection between morality and beauty and health, I think people just collapse it into one, they don't see them as different things, even if they use a language like, don't you wanna be healthy? But they're saying to someone, don't you wanna lose weight?

And I think it's gonna be harder for women to escape that, unfortunately. So, okay, let me ask this question now. Is there a moral way for people to engage in conversations about weight, weight loss, health, and how it pertains to people? Like, Gia, you know, you've done a lot of research in this, Christiana, I know you've talked about this

for years, but like, where do you think we find but like where do you think we find the sweet spots? 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 spent, you know, that's been like 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'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? That BMI is based on, you know, like BMI is like a racist, kind of eugenicist standard and like, and there can be serious conditions that correlate with obesity, but that doesn't mean that, you know, obesity or excess weight is in itself harmful. You know, and so much of this is really arguably down to physician bias as well, right? Like there are OBGYNs that won't treat women over a certain BMI.

There's so many, so many, like statistically doctors self-report, you know, beliefs about patients that are quote unquote overweight or obese. And, you know, they treat them differently. They underdiagnose, they undertreat, they attribute all health problems to, you need to lose weight in ways that are never sort of suspected about people of different sizes.

And, you know, there's like- Yeah, I think there was a story I read. It might've been one of your stories actually, where there was a woman who was struggling to breathe. Yeah. And- Yeah, blood, yeah. Yeah, yeah, that was- been one of your stories actually where there was a woman who was struggling to breathe. Yeah. And... Yeah, blood.

Yeah. Yeah, that was... You're like, oh, your lungs are simply fat. Yeah. She's just dying. Yeah. And she actually had... This stuff happens...

Does she have lung cancer? Blood clots, I think. Oh, she had blood clots. Yeah. But I think you mostly find the healthy way of talking about it in people who have had to advocate for themselves against all of these things for a long time. I also think fundamentally probably the healthiest way to talk about health is to kind of set

weight aside altogether, right? And talk about other metrics like... VO2 max and... Yeah, I don't know what that means. No, no, no, really. I know I hear VO2 max is the gold standard. That's actually they say VO2. So VO2 max is your body's ability to withdraw

or to extract oxygen from every breath. There you go. I love that. Apparently that's it. There are so many other metrics to talk about health that have nothing to do with weight. And probably that would be the healthiest way of talking about weight is having it be just sort of

a incidental byproduct of all these other lifestyle factors. We're going to continue this conversation right after this short break. Let's talk a little bit about the drugs themselves, like the actual way that the drugs work. I was lucky, I had a conversation with the CEO of Eli Lilly and some of the scientists who work there, because I wanted to understand what is this thing? So I'll break it down, and Gia, I know you're the expert, so please jump in. A few decades ago, there was a scientist who discovered that there was essentially a hormone

that was released into your body that told your body you were full, right? And they wanted to study what this thing was, GLP-1, they called it, because they never call it easy things like Patrick, which they should, because then it would help us. If scientists were just like, we're going to 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 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. 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. And then 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. And they're like, have you noticed that all these people are getting erections? 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 and how it has been robbed from us. Because people take Ozempic, Z Zepa, whatever, right? The first thing they do is they don't eat as much. We knew that would happen. Okay, fine, it's working.

But then people go, oh, I don't drink alcohol the same way anymore. I don't watch as much TV. I don't use social media. I'm not even on my phone as much. I don't gamble as much. And you're just like, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait,

wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait,

wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait, wait society has unleashed upon itself. Does this make sense? Yeah. We don't judge gambling or drinking or online shopping in the same way that we do weight. So that was what the person was fixated on. I got on Ozempic to lose weight, but they discovered all these other parts of themselves, all that they were awakened to like, I actually spend too much money. Like a woman said she was going through Target and she wasn't putting things in her car in the same way. And I found that so interesting. We don't see like excessive shopping the same

way we see excessive eating. And I think that's the most interesting part of the drug. Well, this is taking it in a slightly different direction, but what this part of the conversation makes me think of and what I think this thing that was in the back of my head when I was writing and thinking about it was that like one of the reasons that I, you know, on a macro level find it really sad when people who are extremely thin take this to become much thinner, right, is that like what it is to be human, like we're made up of our appetites, right? Like that's one of the defining things of what we seek and what we literally physically hunger for and you know, like our desire for pleasure and relief and excitement, right?

These things are important and they make us human and back to the conversation about kids, it's like so much of the rise of obesity in children seems directly related to the fact that people are so afraid of fat children in the first place, right? Like that children are taught to fear their appetites and fear the snack drawer. Like the idea of just kind of natural pleasure in our appetite seems to be the thing that might possibly lead to the healthiest relationship with them in all cases, right? To not need to like indulge and have guilty pleasures and sort of secret little things, right? That if these appetites, if we could sort of have a treat them normally in all respects, and like it seems like American consumers culture just blows all of these kind of compulsions sky high

because of this fear we have of appetite. I think my slight pushback to that is like being a Brit in America is that it's actually very hard to have a regulated relationship with the pleasure of food when there are very few pleasures. So food is like a very easy and cheap pleasure. I think that's okay if you're like in a country where it's like there's a park down the road, I can play tennis for free.

It's just like you get pleasure and that humanity everywhere. It is like one of the dopamine hits. But in this country, I feel like food and alcohol are the only cheap accessible pleasures. But if we were in a more balanced, I guess, culture, then I'd be like, sure, enjoy the pleasure of food, because then you can regulate that pleasure because you're getting pleasure everywhere. But people don't get touched. That's a really interesting idea.

They don't have community. They don't have any other pleasures. But that's what I mean, right? If we could like honor our need, like what we were saying, outside time and safety. Yeah, yeah, yeah. And like the whole labor market being organized differently so that it's not like you have to squeeze all your pleasure into like two minute

micro-installments like you know six times a day, right? like I think we would have a very different relationship to compulsion and appetite and pleasure and relief if you know if American society were set up in such a way that would like honor people as like Beings that need these things. Also this isn't unique to America. I don't want it because like England is pretty tough right now. like beings that need these things, right? Also, this isn't unique to America. I don't want it because like England, like it's pretty tough right now. Yeah, yeah. So we're seeing similar things there too.

I think something we also have to consider is this. One of my biggest beefs is that corporations have found ways to create messaging that tricks people into making the corporations problem their problem. In the same way, oil companies scammed us into thinking that recycling was our job. And they make it about individuals. You need to recycle. No, no, no, no. Let me tell you something.

Recycling is not our job. 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 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. Yeah. Is where, you know, to your point, Gia, 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? Why I can't, what's my child is their appetite. I don't want to stop. I don't want to make them guilty. And no one seems to be asked, not no one, but like, I think sometimes we forget to ask the question. Like, wait, why is it impossible for 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 whack-a-mole, telling everybody in society that they need to be better, when in fact we're ignoring the fact that, you know? Yeah, for sure. 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 all allowed. 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. Yes! And responsibility. And gee, I think your piece touches on that as well. It's not about, no, it's not willpower.

Like the system is basically working against all of us, and some of us are able to resist better than others. And resist some of it, by the way. And some of it. But I think it's caught all of us, in a way. Yeah, I feel like that's the whole story of the entire conversation around weight, right? Like, it's who is making the money off of them and who's making the money off of the

cure. Follow the money. Always follow the money. Yeah. Yeah. So let's talk a little bit about, you know, if we move beyond appetites, per se, and Follow the money. Always follow the money. Yeah. Yeah. Yeah. So let's talk a little bit about, you know, if we move beyond appetites per se and we come back to the world of these drugs, what they're doing and how people 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. 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. Also, I think, Gia, just to hop in, it's like, we're talking about a Zempik so much because people lose weight, and we think 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 not have to go through the cruelty of phobia

and it's gonna be the people with money that can perhaps escape that everyday cruelty. And the people that don't can't do that. 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 digital enhancement and then technological alteration to match digital enhancement and then you digitally enhance more and then use technology to further sort of shape,

inject, 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 unacceptable. That's the thing that I find really like existentially terrifying. Damn, yeah, it's almost like in those, you know, when you watch those cyberpunk future movies where like people are judged because they don't have cybernetics now.

You know, so everyone has, yeah, and that's an interesting way you just put it now. It becomes judgment because like, well, why aren't you making yourself better? Yeah. And I think plenty of people who are fat and healthy and perfectly happy in their lives are now hit with this sort of unbearable wave of like, well, why don't you just get the little jab, you know? Because now it seems like you're actively making a choice to not be healthy or to not be.

Why wouldn't you conform, right? Like it's... So here's a question I do have. I'm going to throw a few things at you and everybody... Go for it. Trigger warnings. Everybody, trigger warning. every Jia trigger warning and feel free to plead the fifth. No one needs to speak. 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 and these conversations. Sometimes it feels and I'm speaking for people, because I generally don't think I struggle with this as much myself, but I do know that there's a little inconsistency or what people perceive 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 and they come back and they've got a completely new body. And then they're like, hey, I've got a new body. And then people are like, yo, what the, wait,

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 level of backlash from the people that were body positive who are now sort of antibody positive because now their body has gone a different way. Does this make sense? And it almost feels like in the same way everything else in society has become like 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. You get what I'm saying? Like look at how many people were angry at Adele for losing weight. Angry at her. Jennifer Hudson, angry at her. For sure. Do you know what I mean?

I, you know, not to speak on behalf of fat people or fat women at all, but I think there'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. Right.

And there's like this disappointment or resentment when that celebrity then changes their body. I speculate some of that. Well, I mean, I mentioned earlier, like the little dove, everyone is beautiful. Like the beginning of the sort of corporatized body positivity movement. It seemed dangerous to me immediately because it seemed like, no, like actually beauty is

the sort of arbitrary assignation based on people's conformity to market forces. 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. Oh, wow, that's fascinating. 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? To dumb that down in a way, it's almost like what you're saying is... It's body neutrality, yeah. I like that as a... I never thought of that actually. It just seemed like, oh, this is a thing that people are going to make a lot of money off of.

Now we're trying to get to... we're still trying to get to beauty. Okay, hold on. There's this click hole article from 2016 that the headline is, this plus size model was inspiring, but then she lost a hundred pounds, which was also inspiring, even though she was already perfect before, but she's also perfect now. You know what it was like? Like it's like this very like,

ugh, like, and it's like, this is the sort of circular hamster wheel that you get into when it's like, everyone's beautiful, but also health is good, but also we love you no matter what you do. But also some choices are socially weighted and it's just so convoluted. I just wanted to throw Tressie in. Oh, definitely.

Tressie McMillan Cottom, brilliant sociologist. She talks about structural ugliness, right? This is the thing about like how beauty is like this structural concept. And like, even though you can feel beautiful on an individual level, structurally, if you are dark skinned, fat and all these same ideas you're seen as ugly. And I think what Zempik is getting at is just like it's this cure to that structural ugliness of weight. That's interesting.

And that's what a lot of thinkers are trying to resist that like why have we made being bigger structurally ugly? 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 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. LeBron James decided to lose a lot of weight, or he decided rather. LeBron James decided to lose a lot of weight. LeBron said, if I want my knees to take the pounding that they're going to 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 all go into good faith conversation land, you know, where we can talk about health, but it not be used against somebody else in

like a shitty way. A doctor can say, hey, you do want to try and work out as much as possible because it's good for your heart, but then someone's not going to point to someone and go like, you see, you piece of trash. But it is important for people to know like the lifting of weights, just like resistance training has been shown to be one of the most important factors in longevity. I'm not saying living long, I'm saying living as a functional person for as long as possible. So that's like the one side.

Okay, so I agree with you, but I think, Gia, you probably understand what I say here. As a woman in those spaces, sometimes it is so hard to disconnect the pursuit of longevity and health for the pursuit of a body that especially in a city like LA, New York or London that people won't disapprove of. Trust me, with men it's not exactly the same. But we also, and I'm not saying it's exactly the same because we don't get judged the same, but I know as guys, there's also a difficulty. You're standing in the gym and you're going,

I'm here to look healthy, but also, man, I'm so far from man. Marvel body. Yeah, I'm so far from that body. I don't know, like Chris Evans in Captain America. I think back to the LeBron thing, though, it's like, you know, he has very specific needs for physical performance for his body that many of, that all of us do not. But I think it's an interesting thing to bring up, because the question is, how does he physical performance for his body, that many of, that all of us do not.

But I think it's an interesting thing to bring up because the question is, how does he need to live in and or change his body to do the things that he wants to do with it? Even that as a way that people would talk, even that would be just a really nice way for people to talk about. Like for people, like if weight was incidental to that, it was like, can you

do the things in your life that you want to do? I love that, Chia. You know, do you feel good? I love that. I actually love that. And it's like that is probably the foundation that, you know, that could be the start of whatever healthier conversation. That's amazing.

We need to get that somewhere. Yeah. Because I feel like that could make a meaningful difference. It's like, hey, can you do? Can you lift your overhead luggage in the plane comfortably? Can you lift your child comfortably? Can you move a couch? But it's only the things you do. Can you live your life the way you would like to? Yeah. And like, do you feel good? Do you feel good in your body? Right? I think that's what I was thinking about the like appetite and pleasure thing, right? Like if that was valued,

right? Like people just feeling good in the way. Oh man, I really love that idea. Like it seems extremely health conducive, right? Yes. We need to get D'Angelo to come back and do a remix. Exactly. And this one will be like, how do you feel? That's what it will be.

Don't go anywhere, because we got more What Now after this. You know what I also realize as we're speaking about this? Whether we like to admit it or not, humans are generally judgmental. We hold and cast judgments upon other people because it either makes us feel like we are doing well or it makes us, whatever it is, there's reasons we do it. 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. You don't know what it's telling you but you can see it Yeah, but like think of it this way if somebody has a has a gambling problem or likes gambling or whichever way you want to put it That person you can't tell Mm-hmm, if somebody drinks a lot of alcohol is addicted to alcohol or likes alcohol drinks at occasion You can't tell do you you get what I'm saying? And I think 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 sort of see it from the outside. And not just make judgments but express those judgments. But I think with fat people we're very prescriptive. We are. Like, and sometimes it's that... Well, and we see that body as like, this is a sign of a problem. Yeah, but like, are you sure you want to eat that is a thing said to people who are fat or like...

I saw a TikTok, a woman was like, being fat and exercising is people on the street going, go you, I'm so proud of you. And she's like, I'm just on a run. Like, why do you feel this need to like, encourage me? The people are trying to be nice, but like, what's under that is like you're someone that should be pitied

and needs my encouragement in a way that's kind of infantilizing you. And I think that's the thing about fat phobia. We just feel like we can say anything to people who are fat, and it's often really cruel. That's actually a really good point. Well, there was a thing, there's like Harvard does this implicit bias study,

and I think I mentioned it in that piece, that I think it was, I'm gonna get the dates wildly wrong, but it was maybe sort of from a point in the mid-2000s to a point in recent years, they analyzed sort of 10 vectors of bias about age, about skin color, about like gender, about you know, like these various things, every single implicit and explicit expression of bias went down in that sort of like Obama era period, except for bias against weight. And that went up, I believe, both implicit and explicit.

And so, yeah, I was quite surprised by that. Yeah, everything went down of the 10 things tested in this particular Harvard study. Yeah. Well, that's really fascinating. Yeah. Look, I think, as we said in the beginning of this conversation, this feels like 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. I feel like we're at that point now with these Ozempic 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. And those questions are, what is health? Are we trying to promote health or Are we trying to promote health,

or are we trying to promote our moral superiority upon other human beings? 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, that we have the right to do these things? And then with children, what does it mean for the future? Because 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 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, Gia, what now from your perspective? I'll break it down in two parts. What do you think we're going to see now? And then what would you hope we would see now that maybe we wouldn't and maybe we will? What I thought originally about the best case sort of cultural effect of this, 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 that all of it is much more sort of arbitrary and kind of morally neutral. And like you said, Christiane, like 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 one injection, then maybe it wasn't something that everyone should have been judging. You know, then very clearly it's not something that deserved decades of moral, a century, like a full century of moral condemnation by like the entire beauty industry, right? Of course it doesn't seem to have led there at all.

And I think, 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 body reverts to how it was before. So the weight loss lasts as long as you take them basically. And you gain more fat.

You gain it back, yeah. So this is because it's something we've learned about bodies. I think from the starvation experiments back in the day, the only ones we really have on like weight is- Right. Dieting slows your metabolism. And that's one of the reasons that fat phobia leads to obesity very directly.

And so, I think we have yet to see the wave of what happens when people come off of this and reckon with the sort of exit plan, if there is one, or the sort of lifetime use for the sort of like beauty use case. And I don't know what that'll look like. I don't know how people will talk about it or how open it'll be.

It still doesn't seem like this is something that people talk about frankly when it comes to their own use of it. And I don't know, it'll be interesting to see if and when and how people ever do. Yeah, that's a really, I think a very honest way to look at like all the potential outcomes for what it could or might or should be as we move forward.

I will throw in a random prediction. I think, and this is a crazy thing to say, I think at some point the American government is going to shut these drugs down because these drugs, if they get to like a point where they are extremely effective, because right now they don't work for some people, but when they get to the point where like these drugs are just nailing it, and I mean just nailing it, I think they might get shut down.

Interesting. Because what is America if people are not addicted to social media, people are not addicted to social media, people are not addicted to fast food, people are not addicted to junk food? A lot of America has been built on corporations getting people addicted, not giving them something, but getting them addicted to things. And I wonder if, and I know it's like almost conspiracy theory level, but I go like, I wonder if at some point these corporations and these CEOs are going to phone people in Congress and

go like, hey, this one drug is shutting down a lot of how American companies make their money. You need to shut it down. And I don't think that that's impossible, to be honest with you. I agree with you. I have a working theory. I think that as there is this kind of anti-wokeness thing happening and people are swinging to the right,

I think the obsession with thinness is also an expression of that. And as long as we're in this kind of right-wingish populist conservative era, people are going to long to be thin. Because I think that when people talk about, when people like use woke as a slur, they'll mention people, they'll mention movements, they'll mention DEI, they'll mention body positivity, they'll mention transness, all of these things

that for a brief moment for about two to seven years were coming into mainstream almost acceptance. They weren't quite acceptance. They were coming into it. And I think that this thin white blonde ideal Barbie movie, guys, it's not a coincidence. It's not a coincidence that like Mattel made an ad and we were like, oh, we should get an Oscar. But it's just like all of that being ascendant and like the Kardashians, if you say, rejecting like the curvy body,

as long as that's the case, people are gonna wanna be thin. Damn. And I think... And the Kardashians remembering their white. Yeah, and being white and even dating white men, something's happening. And then like, until it swings and people are like, we don't mind curvy bodies, we don't mind brown skin and full lips and people that the politics feel different. I think the thinness and the asympic is here to stay.

Well, as they say at the end of every great epic movie that's about to begin really, end of part one. Gia, thank you very much for taking the time. Thank you for joining us and I hope we see you again. Thank you, Gia. Thank you for joining us and I hope we see you again. Thank you Gia. Thank you so much What now with Trevor Noah is produced by Spotify studios in partnership with day zero productions The show is executive produced by Trevor Noah Sinaz Yamin and Jodie Avigan Our senior producer is Jess Hackel Marina Henke and Claire Slaughter are our producers.

Music, Mixing and Mastering by Hannes Brown. Thank you so much for listening. Join me next Thursday for another episode of What Now?