Bodies are getting smaller again. And people are noticing.

Bodies in the media are shrinking — again. I remember first noticing this shift when Kim Kardashian publicly shared her 16-pound weight loss in 3 weeks to fit into Marilyn Monroe’s vintage dress for the 2022 Met Gala. She documented intense workouts and a highly restrictive diet to get there.

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Around that same time, Wegovy had just been FDA-approved.

Since then, the conversation around weight loss has only gotten louder.

Now, GLP-1 medications like Ozempic and Zepbound are everywhere. When someone loses a noticeable amount of weight, it’s a common thought: Are they on a GLP-1?

So naturally, the question comes up:

Is “skinny” back?

As a dietitian who works closely with clients on GLP-1 medications, my answer isn’t black and white.

Because while these medications are powerful tools, the way we’re using them — and talking about them — matters just as much.

Weight and Health Are Not the Same Thing

This might surprise some people:

I’m a weight loss dietitian who also believes in a health at every size approach.

Because weight and health are not synonymous

Because weight and health are not synonymous

What a “healthy weight” looks like will vary from person to person. Two people can weigh the same and have completely different health markers, lifestyles, and needs. I often remind clients that you can have heart disease and still be thin.

Health is so much more than a number on the scale.

It includes:

• Blood sugar control
• Cholesterol levels
• Hormonal balance
• Energy
• Sleep
• Strength
• Mental well-being
• Feeling comfortable in your body

When we reduce health to just weight, we miss the bigger picture.

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We’ve Been Here Before

Watching what’s happening right now feels familiar.

The ultra-thin ideal dominated the early 2000s. Then we saw a shift toward strength, body diversity, and a broader definition of health in the 2010s.

Now, it feels like the pendulum is swinging back.

With Hollywood shrinking again and social media normalizing rapid weight loss — even for the “last 10 pounds” — the messaging is becoming louder and more subtle at the same time.

That’s the part that concerns me.Because underneath it all, it reflects something deeper: our culture’s persistent desire to be thin — sometimes at the expense of health.

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Where GLP-1s Fit Into This Conversation

I use GLP-1 medications with clients every day.

I’ve seen how effective they can be — for blood sugar management, weight loss, fatty liver disease, and even kidney protection.

But I’ve also seen what happens when there’s no strategy behind them.These

medications reduce appetite.
And while that can be helpful, it can also make eating enough surprisingly difficult.

That’s where problems start.

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What I’m Seeing in Practice (And Why It Matters)

I’ve worked with clients who:

• Eat 800 calories a day
• Workout 6 days a week
• Lose significant weight

On paper, it looks like discipline.

Behind the scenes, it looks like hair loss, hormonal disruption, low energy, poor sleep, and a body under stress.

Yes, weight was lost.
But health was compromised.

And to me, that’s not a win.

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When Weight Becomes the Only Goal

When weight loss becomes the only focus, we start ignoring other critical markers of health:

• Stable blood sugar
• Healthy cholesterol levels
• A regular menstrual cycle
• Strong bones
• Consistent energy
• Quality sleep

These are the things that determine how you feel — and how you age.

Not just how you look.

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The Long-Term Perspective We’re Missing

This is the piece that isn’t talked about enough.

Undereating — especially long term — doesn’t just affect how you feel today. It impacts your future.

We see this in chronically under fueled individuals who develop conditions like osteoporosis from prolonged nutrient deficiencies.

When I think about health, I’m not just thinking about now.

I’m thinking about:

• Carrying groceries at 70
• Getting up from a chair at 80
• Living independently

That’s real health.

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This Isn’t Our First Weight Loss Trend

GLP-1s may feel new, but weight loss medications are not.

Back in 1959, Phentermine was FDA-approved for short-term use. It led to weight loss, but also came with side effects like increased heart rate, elevated blood pressure, insomnia, and dependency concerns.

Every era has its “solution.”

What matters is how we use it.

So… Is “Skinny” Back?

Maybe.

But I don’t think that’s the right question.

A better question is:

Are we prioritizing weight over health again?

Because if we are, we risk repeating the same mistakes — just with more advanced tools.

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Where Dietitians Come In

This is exactly why I do the work I do.

GLP-1s are a tool.
But without guidance, they can be misused.

And that’s where registered dietitians are essential.

In my work, I help clients:

• Eat enough (even when they’re not hungry)
• Prioritize the right nutrients
• Support metabolism long-term
• Maintain muscle
• Reduce side effects

The goal isn’t just weight loss.

It’s feeling better, functioning better, and building habits that last beyond the medication.

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Final Thoughts

I’m not anti-weight loss.
And I’m not anti-GLP-1.

I’m pro:

• Informed decisions
• Proper support
• Long-term health
• Sustainable habits

Because the truth is:

Medication can change your appetite.
But nutrition changes your outcomes.

If you’re on a GLP-1 and feel like no one actually told you how to eat on it — that’s exactly where I come in.

You can learn more or book a discovery call through the link in my bio.

Fuel Bettr. Feel Bettr. 💙