Introduction

My old and dear friend Johann just released his latest book, Magic Pill: The Extraordinary Benefits and Disturbing Risks of the New Weight-Loss Drugs. That follows Chasing the Scream: The First and Last Days of the War on Drugs (2015), Lost Connections: Uncovering the Real Causes of Depression (2018), and Stolen Focus: Why You Can’t Pay Attention (2022), which we covered on the Dishcast.

For two clips of our convo — on the ways Big Food gets us hooked, and the biggest risk of Ozempic — pop over to our YouTube page. Other topics: Johann’s struggles with food growing up; how his Swiss dad’s healthy eating habits clashed with his Scottish mom’s processed food; how the obesity crisis started in 1979; the comfort and convenience of junk food; 78 percent of calories consumed by kids today are ultra-processed; how ads hook them at an early age; why the government should regulate food companies like Japan does; Johann’s own experience with Ozempic over the past year; how such drugs boost satiety; nausea and other side effects; the dangers for those with thyroid issues and anorexia; ten other risks he highlights; the ease of getting Ozempic; how people on it lose the pleasure of eating; how the disruption of food habits surface psychological problems; bariatric surgery; Fen Phen and its $12 billion settlement; the dangers of obesity that include diabetes and cancer; how victims of sexual abuse put on weight as a deterrent to abusers; the resilience of fatphobia; why The Biggest Loser is an “evil f*****g show”; why weight-loss drugs feel like cheating; why they might inhibit reform in the food industry; when Johann was fat-shamed by the Dalai Lama; why exercise is great for your health but not really for weight loss; and why I might start taking Ozempic myself.

In fact, I just started. Took my first dose yesterday. I’m struck by how utterly simple it is. A teeny-tiny injection from a teen-tiny needle once a week. I’ll keep you posted if anything interesting happens.

Update from Johann's book peeps: "A statement about a food critic taking Ozempic leading to a loss of joy in eating was incorrectly attributed to Jay Rayner. In fact, Mr. Rayner has never taken Ozempic and last year wrote an article explaining that he would not use the drug because it would risk him losing his pleasure in food. Mr. Hari apologizes for this error."

Browse the Dishcast archive for an episode you might enjoy (the first 102 are free in their entirety — subscribe to get everything else). Coming up: Nellie Bowles on the woke revolution, Adam Moss on the artistic process, Oren Cass on Republicans moving left on class, Noah Smith on the economy, Bill Maher on everything, George Will on conservatism, Elizabeth Corey on Oakeshott, and the great and powerful Van Jones! Please any guest recs, dissents, and other comments to dish@andrewsullivan.com.