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Vanity Before Health: The Shadow Side of Weight Loss Drugs

Jan 16, 2026

We live in a culture that has become deeply confused about health. Thinness is celebrated as virtue, control, and success, while the body’s deeper signals are often dismissed as inconvenience or weakness. Against this backdrop, a new generation of weight loss drugs has risen to prominence, offering rapid physical change with minimal engagement with the reasons weight was gained in the first place.

What is being sold as empowerment is, in many cases, another form of disconnection.

These medications were originally developed to support blood sugar regulation in diabetes. Their use for weight loss, however, has expanded rapidly, driven by aesthetic ideals rather than metabolic healing. In a world that rewards speed and surface-level change, the promise of a weekly injection that suppresses appetite and shrinks the body feels seductive. Why struggle with digestion, emotional eating, trauma, hormonal imbalance, or exhaustion when weight can be reduced from the outside in?

But the body is not passive. It adapts, compensates, and remembers. When its signals are overridden rather than understood, there is always a cost.

Much of the public conversation around these drugs focuses on short-term weight loss, but far less attention is paid to what is actually being lost. Increasingly, data and clinical experience show significant loss of lean muscle mass alongside fat loss, leaving people weaker and metabolically more fragile. Digestive complications are common, including nausea, vomiting, slowed gut motility, and in some cases severe gastroparesis. Gallbladder inflammation and gallstones are frequently reported, particularly where rapid weight loss occurs.

Appetite suppression also carries nutritional consequences. When intake drops without careful support, deficiencies in protein, essential fatty acids, vitamins, and minerals can follow. The brain, like the body, requires fuel. Emotional blunting, low mood, anxiety, and cognitive dulling are increasingly reported, reminding us that starvation -whether intentional or pharmacologically induced - affects the nervous system as much as the waistline.

More concerning still are the growing reports of serious adverse events, including pancreatitis, bowel obstruction, blood clots, psychiatric symptoms, and, in some cases, death. These are not rare side notes; they are signals that the body is under strain.

Weight loss without healing is not health; it is cosmetic change. These drugs do not balance hormones, restore gut function, support liver detoxification, or rebuild metabolic flexibility. They do not resolve trauma-based eating patterns, address emotional regulation, or work with the genetic pathways that influence appetite, insulin signalling, inflammation, and nutrient metabolism. They silence hunger without asking why the body was hungry in the first place.

When the underlying drivers are not addressed, weight often returns. But it returns to a system that has been altered - sometimes metabolically compromised, nutritionally depleted, and emotionally discouraged. What is framed as a solution can become another chapter in a long story of mistrust between a person and their body.

This raises an important question about what empowerment really means. True empowerment is not the suppression of appetite or the outsourcing of healing to a drug. It is the capacity to understand one’s body, to work with it rather than against it, and to restore regulation at the level where imbalance began.

My work sits in a very different paradigm. I work with weight as information, not failure. Through genetics-led insight, functional nutrition, nervous system regulation, and trauma-informed therapeutic work, I explore how metabolism, blood sugar, inflammation, stress chemistry, digestion, and emotional history interact. Weight is rarely the primary problem; it is a signal emerging from a complex system under load.

Genetics plays a central role here. Variations in genes involved in insulin sensitivity, fat metabolism, appetite regulation, detoxification, neurotransmitter balance, and stress response shape how each body stores energy, responds to restriction, and copes with stress. When these pathways are understood, nutrition and lifestyle support can be tailored rather than imposed, and the body can begin to feel safe enough to change.

Nutrition, in this context, is not about control or deprivation. It is about restoring metabolic trust—adequate protein, stable blood sugar, micronutrient sufficiency, and digestive capacity—so the body no longer needs to cling to weight as protection. Emotional and relational work is equally important, because food is often carrying meaning far beyond fuel: safety, comfort, regulation, and belonging.

If weight loss drugs feel tempting, that makes sense. The pressure is relentless, and the promise of relief is powerful. But before silencing hunger chemically, it is worth asking deeper questions. What is the body trying to communicate through this weight? What has been carried, absorbed, or endured? Is the goal to heal, or simply to hide?

Vanity shouts. Healing whispers. And the body, when listened to properly, always tells the truth.

If you are ready to explore a more honest, integrated relationship with weight, food, and health - one that honours biology, genetics, and lived experience - I am here to walk alongside you. I am right here…

About Shoshannah

Hi, my name is Shoshannah Phoenix. I work with individuals, couples, and families, especially where things feel complicated, tangled, or hard to make sense of.

My work uniquely blends talking therapy, my own mindscaping, functional medicine, cutting edge genetic testing, and natural holistic solutions to whatever ails you. I help people understand how their nervous system, body, thoughts, emotions, and relationships are connected - and how these patterns shape health, behaviour, and connection over time.

Many of the people I work with have complex or long-standing challenges. They may be living with anxiety, emotional overwhelm, OCD, trauma, chronic stress, complex health issues, neurodivergence, relationship difficulties, or patterns that seem to repeat across generations. Rather than looking at one piece in isolation, I work with the whole picture.

This is gentle, collaborative work. We move at a pace that feels safe and manageable, working with your system rather than pushing it. Whether we are working one-to-one or with couples and families, my role is to help you understand yourself more clearly, feel more regulated and supported, and find a way forward that truly fits you.

I am right here… how can I help you?


    Shoshannah Phoenix
    Shoshannah Phoenix
    About Shoshannah

    Hi, my name is Shoshannah Phoenix. I work with individuals, couples, and families, especially where things feel complicated, tangled, or hard to make sense of.

    My work uniquely blends talking therapy, my own mindscaping, functional medicine, cutting edge genetic testing, and natural holistic solutions to whatever ails you. I help people understand how their nervous system, body, thoughts, emotions, and relationships are connected - and how these patterns shape health, behaviour, and connection over time.

    Many of the people I work with have complex or long-standing challenges. They may be living with anxiety, emotional overwhelm, OCD, trauma, chronic stress, complex health issues, neurodivergence, relationship difficulties, or patterns that seem to repeat across generations. Rather than looking at one piece in isolation, I work with the whole picture.

    This is gentle, collaborative work. We move at a pace that feels safe and manageable, working with your system rather than pushing it. Whether we are working one-to-one or with couples and families, my role is to help you understand yourself more clearly, feel more regulated and supported, and find a way forward that truly fits you.

    I am right here… how can I help you?


      Shoshannah Phoenix
      About Shoshannah

      Hi, my name is Shoshannah Phoenix. I work with individuals, couples, and families, especially where things feel complicated, tangled, or hard to make sense of.

      My work uniquely blends talking therapy, my own mindscaping, functional medicine, cutting edge genetic testing, and natural holistic solutions to whatever ails you. I help people understand how their nervous system, body, thoughts, emotions, and relationships are connected - and how these patterns shape health, behaviour, and connection over time.

      Many of the people I work with have complex or long-standing challenges. They may be living with anxiety, emotional overwhelm, OCD, trauma, chronic stress, complex health issues, neurodivergence, relationship difficulties, or patterns that seem to repeat across generations. Rather than looking at one piece in isolation, I work with the whole picture.

      This is gentle, collaborative work. We move at a pace that feels safe and manageable, working with your system rather than pushing it. Whether we are working one-to-one or with couples and families, my role is to help you understand yourself more clearly, feel more regulated and supported, and find a way forward that truly fits you.

      I am right here… how can I help you?


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