Oprah Winfrey returned to TV Monday night to host “An Oprah Special: Shame, Blame and the Weight Loss Revolution” on ABC. The majority of the hour-long special focuses on how drugs such as Ozempic have impacted the world of weight management.
The media has harped on Oprah’s weight for decades. In the special, she speaks to the very painful impact of the negative attention (bullying) she’s been subjected to, and the personal challenges she’s faced trying to lose weight and maintain the loss.
I’ll be the first to say that Oprah is an incredible and powerful force — I’ve been watching her since I was a little girl, and I don’t plan on stopping anytime soon. And I can empathize with her challenges: I have been battling obesity for my entire adult life. I’ve been on Weight Watchers, Noom and calorie tracking apps, and have lost and gained too many times to count. In 2023, I finally got my hands on a drug that helped me lose weight.
Oprah, who said she works with the Cleveland Clinic, claims medication has been the key to finally losing weight and keeping it off.

Oprah Winfrey said that medication has been the key to losing weight and keeping it off.
Kevin Winter Getty ImagesI appreciate the fact that Oprah and her guests clarified that obesity is a disease or chronic condition that cannot be “dieted away.” It was powerful to see medical professionals on her stage validating the fact that obesity is not indicative of laziness or some type of character flaw. It needs to be said. One day, I hope that message will be embraced by the general public.
As someone who has taken medication to lose weight, I also appreciated the attempt to provide information about what the drugs actually do, and how they’ve been empowering women and men around the world to “quiet the food noise” and focus on healthy living. Oprah and her guests were quick to clarify that medication is just one part of a healthy lifestyle; good nutrition and being active are also critical.
It’s hard to dig deep in a single hour, but I felt the special skimmed the surface and veered towards becoming overly promotional. Representatives from Novo Nordisk, which manufactures Ozempic and Wegovy, and Eli Lilly, which manufactures Mounjaro, were given the floor at one point.
One guest spoke briefly about side effects, but it would have been helpful to take a deeper look at the potential side effects and caution that these meds aren’t for everyone.
At certain points, it felt like the special specifically avoided topics that would put the makers of these drugs in the hot seat. There was no discussion about their misuse. It’s not just celebrities who are using these drugs when they don’t need them — a recent pc28Star investigation found it was a little too easy to get an Ozempic prescription.
I also wish someone had said that being fat doesn’t mean you’re inherently unhealthy. There are plenty of healthy fat people who live active lifestyles. A few times, Oprah’s guests said losing weight helped them to feel seen — but you shouldn’t have to lose weight to feel valuable to society.
As for me, I’m no longer taking Ozempic for a few reasons — mainly because my health insurance provider stopped covering it. While it’s time insurance covered such medications, these are steeply-priced drugs that are making a lot of people on Oprah’s stage very rich. I wish someone had mentioned that this option is inaccessible to many who simply can’t afford it.
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