Jess, 38, has lost 75 pounds since she started taking Wegovy last year. She’s thrilled with the results—in addition to losing weight, her blood work and sleep apnea have improved—but the changes to her life and body feel too fraught to talk about with her friends, who want nothing to do with her weight loss. Years ago, Jess, who asked to use only her first name for privacy, and her friends embraced the principles of the Health at Every Size movement, which fights against anti-fat bias and argues that weight is not an accurate indicator of health. But last summer, despite her support for that school of thought, Jess decided that she wanted to lose weight to feel better in her body.
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