#399 - The thing no one is saying about Ozempic with Jay Feldman

Uncategorized Aug 13, 2026

Nobody is telling you this about Ozempic.

1 in 5 women who come off Ozempic regain all the weight within a year. And when it comes back, it comes back about four times faster than if you'd lost it through diet and training.

I sat down with Jay Feldman (he's basically a walking encyclopaedia on this stuff) to go through what these drugs are actually doing in the body. Not the marketing version. The mechanism.

They don't fix your metabolism. They shut down the reward centre in your brain so food stops feeling good, the same pathway recreational drugs hit. That's why the weight comes off. It's also why 60 to 70% of people are off these drugs within a year, and why a big chunk of what's lost isn't fat, it's muscle and bone.

We also got into the "food noise" conversation, and Jay makes a pretty compelling case that it's a term the drug companies invented, not a diagnosis.

This isn't an anti GLP-1 rant. There's a real conversation in here about when they might actually make sense too. But the risks that don't make it into the ads deserve equal airtime.

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