If you listen to the official story, you hear it on repetition: drugs such as Ozempic and Wegovy are not addictive.
They are safe. They are well tolerated. And when they are used correctly, they are a valuable tool for treating obesity and type 2 diabetes.
But as an accredited nutritionist who works closely with women older than 40, I have come to a different conclusion, not based on medical tests or large pharmaceutical PR, but of anxious e -mails, trusty consultations and silent shame women share behind closed doors.
What I see is a crawling psychological dependence.
Women do not only use Ozempic to lose weight. They start life without fear without. And for some, that fear becomes a form of captivity.
In the past 18 months, an increasing number of my customers or GLP-1 receptor agonists such as semaglutide has started to use, or they have come into need after stopping.
Most were not obese; Many were in perimenopause or menopause. They were exhausted by weight gain that seemed resistant to diet and exercise. They were promised relieved of the ruthless struggle with food. And they got it for a while.
Nutritionist Faye James Warns says that women not only lose weight on Ozempic – they are afraid of living without, which is a form of psychological dependence
What happens when the hunger stops
Ozempic, and drugs such as it, working by mimicing a intestinal hormone called GLP-1, which slows the digestion, reduces appetite and sends powerful saturation signals to the brain.
Women describe it as ‘finally an off -switch’. For many it is the first time in years that they have felt a sense of control around food.
A customer told me: ‘It was as if the volume button on food was immediately rejected. I could walk past a bakery and not even notice it. ‘
This phenomenon has a name: it is called ‘food noise’, the mental chatter that surrounds food around. The constant thoughts about what to eat, what not to eat, whether you have eaten too much, whether you have to eat again.
For those who have spent decades on diet, bingeing, limiting or obsessed, the silence is euphoric. But that silence does not last.
The crash that nobody warns of
The real problems starts when the recipe is used up. Or when side effects become unbearable. Or when the costs do not become sustainable.

Some Semaglutide users are convinced that microdosing prevents the visible lean brackets associated with GLP-1 drugs, sometimes known as ‘Ozempic Face’ (Stock Image of Ozempic Injection Pen)
In many cases women do not stop because they want it, but because they have to.
And then the food noise returns. Only louder.
“I was fine while I was over,” a woman told me. ‘But within a few weeks after stopping, I was starving all the time. I felt completely out of hand. ‘
She got all the weight she had lost – and something else. “I wasn’t just hungry. I panicked. ‘
Another customer trusted: ‘I felt that I saw myself eating and couldn’t stop. It was frightening. I keep calling my doctor to go on it again. ‘
These are not rare stories. I now hear them every week.
And although pharmaceutical companies claim that Ozempic is not addictive in the traditional sense, the reality is more complicated.
It may not cause the same neurochemical routes such as nicotine, benzos or opioids, but it offers a feeling of emotional lighting, control and calmness that is deeply tempting.
For women who have lived with food as a source of fear and shame, the medicine becomes a lifeline.
When it comes out, this does not only mean that hunger returns. It means the loss of a psychological safety net and, in some cases, the return of lifelong patterns that they thought they had escaped.
A new kind of dependence
What worries me the most is that we frame Ozempic as an aid to help weight loss and to facilitate exercise, while for many it is just a fast drug.
Yes, weight crawls back after stopping the medicine because hunger returns. That is simple biology. But what happens emotionally is much in -depth. Women report feelings of emergency, helplessness, guilt and despair. Some feel like failures. They don’t just miss the weight loss. They miss the peace.
This emotional dependence is not a by -product of the withdrawal of drugs. It talks about how deep food, weight and identity are entangled, especially for women.
Many of the women I work with are intelligent, completed and attentive. They know that figures on the scale are not the most important, but they have spent a lifetime in a culture that praises thinness, punishes softness and jury members appetite.
When a medicine delivers a kind of peace, no matter how artificial, it is not difficult to understand why it comes out, it feels unbearable.
And this is where we should ask the more difficult question: by trusting drugs such as Ozempic, do we solve the problem or do we numb it?
The risks we don’t discuss

“What worries me the most is that we frame Ozempic as an aid to help weight loss and to facilitate exercise, when it is just a quick drug for many,” says nutritionist Faye James
Doctors are rightly focused on the physical side effects of weight loss drugs – nausea, fatigue, gastrointestinal problems, potential for muscle loss, malnutrition, gallstones and even pancreatitis.
But what we don’t discuss are the emotional side effects: the loss of trust in someone’s body, the fear of appetite, the shame spiral when weight crawls back.
This is not an argument against Ozempic. Used responsible, under medical supervision, it can serve a goal for people with metabolic diseases or diabetes.
But for the average woman who just tries to lose 10 or 15 kilos, it is far from a neutral intervention, and we have to stop doing otherwise.
This is not a soft tool. It is a powerful medicine that changes your relationship with food, hunger and self -regulation. It removes the choice. And when you stop, it doesn’t teach you how to eat without; It teaches you that you can’t.
What should happen instead
If weight loss is the goal, the focus must shift from oppression to the rebuilding of metabolic and emotional resilience.
Food noise can be softened by the stabilizing blood sugar levels, improving intestinal health and increasing proteins and fiber intake. But even more important, it can be tackled by cure the psychological relationship with food.
That means:
- Regular meals built around proteins, whole carbohydrates and healthy fats
- Avoiding extreme limitation or fast protocols that worry hunger and cortisol
- Including complex carbohydrates during dinner to support serotonin and sleep better
- Enough food. Chronic sub -attendant makes food obsession worse
- Tackling emotional drivers of food by therapy or counseling
We must also stop pathologizing hunger. Having appetite is not a mistake. It is not something to fear; It is something to listen to, understand and respect.
When we teach women to outsource their hunger management to drugs, we show trust in their bodies. And when they stop, they have nothing but noise.
This is not freedom.
Freedom is not thin and terrified of food. It does not count until your next injection. It is not the feeling that the only way to have control is medicinal.
Real freedom is knowing how to eat in a way that feeds, stabilizes and supports. It is understanding that food is not the enemy, and your appetite is not.

Sharon Osbourne (seen in 2023) is an example of a celebrity that is known to take weight loss Jabs
The women I see do not fail – they respond to a system that has promised lighting but has delivered dependence instead.
We are sleeping walking in a generation of women who will not know how to eat unless they are chemically told not to do that. That is not health. And if we don’t start talking honestly about it now, the long -term consequences will be much more difficult to solve.
Faye James is a Sydney-based nutritionist and author of the Perimenopause plan, the Menopause diet, the 10:10 Diet and the Long Life Plan.
She works with women older than 40 to restore the health of the hormone, the metabolic balance and body confidence without limitation or medicine dependence.
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