• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia

Trendingnow

1

After forcing workers back to the office, Goldman Sachs and JPMorgan Chase are now letting their staff work remotely—but only for the World Cup

2

The Pentagon said Iran War costs $29 billion, but the real cost is closer to $200 billion—and counting

3

Current price of oil as of June 23, 2026

1

After forcing workers back to the office, Goldman Sachs and JPMorgan Chase are now letting their staff work remotely—but only for the World Cup

2

The Pentagon said Iran War costs $29 billion, but the real cost is closer to $200 billion—and counting

3

Current price of oil as of June 23, 2026
CommentaryHealth

I’m an obesity medicine doctor and I’ve been on weight-loss drugs like Ozempic for a decade. Here’s why I think they aren’t a fad

By
Angela Fitch
Angela Fitch
Down Arrow Button Icon
By
Angela Fitch
Angela Fitch
Down Arrow Button Icon
July 30, 2024, 12:23 PM ET
Dr. Angela Fitch is cofounder and chief medical officer of knownwell.
Angela Fitch. cofounder and chief medical officer of knownwell.
Angela Fitch has seen results with GLP-1s like Ozempic and Wegovy.courtesy of knownwell
Add Fortune on Google for similar content.

For as long as I can remember, obesity has affected me and my family. From my father to my brother and even five generations before that, the disease was in our DNA—starting in childhood for some and later in life for others.

Obesity met me in med school, and not just on the pages of my textbooks. My routine was flipped upside down, and I was all of a sudden struggling with my weight and overall health. Pulling all-nighters and on many days getting my sustenance from the hospital vending machine, I went from being somebody who never gave much thought to what food I was putting into my body to someone who quickly noticed my serving sizes were getting larger and larger. Dealing with the stress of residency, and shortly thereafter the stresses of pregnancy, like many people I found myself eating the standard American diet and gaining weight. The reality was, I was predisposed to this disease—I’d just made it that far without experiencing it first-hand. Once I experienced it, it felt nearly impossible to manage.

I knew I wasn’t alone, but that didn’t make it any easier. And surprisingly, despite being on the path to becoming a doctor myself, I found it difficult to get the care I needed. Globally, one in eight people are living with obesity, yet despite it affecting such a large portion of the population, it’s historically been associated with shame and judgment—with only one’s lifestyle choices to blame. It wasn’t until 2013 when the American Medical Association (AMA) recognized obesity as a disease that required treatment and prevention. Ironically, I was board certified in obesity medicine one year prior, already on a mission to close the gaping holes in care for people like myself.

At 200 pounds, I was embarrassed to admit I needed more than just a change in eating habits. Like many of my patients, I was exercising (Peloton and lifting weights twice a week with my trainer) and eating a healthy unprocessed diet but would only see 5 pounds of weight loss and then stall. At the time I was working on studies supporting the use of GLP-1s—drugs including Ozempic, Saxenda, and Wegovy that help control blood sugar by boosting insulin, curbing appetite, and slowing digestion—and prescribing and seeing results through my patients. Yet, I still thought I was supposed to lose the weight on my own. I had developed high blood pressure and mild sleep apnea, and I was headed down a medical comorbidity path I did not want to follow.

I wasn’t practicing what I was preaching until 2014, when Saxenda was approved by the FDA for weight management. In just 12 months of being on the medication, I’d lost 20% of my weight, what medical nerds like me would call a “high responder.” I continued the medication for another three years, despite my health plan not covering it—a conversation for a different time—because it was working, and the weight wasn’t coming back.

Work moved me to Boston, leaving me without a primary care physician and a prescription to GLP-1s. Already at a healthy weight, I decided to give it a try on my own. I was living the lifestyle I’d been recommending for years, and for the first six months, it worked. Eventually, like the randomized controlled trials show, I slowly gained back 20 pounds and realized working out and eating well wasn’t enough for my body—and I needed to accept that.

Nearly a decade later, having taken a variety of GLP-1s from Saxenda to Ozempic to Wegovy, which I take now, I’ve learned a few things that should have been taught in med school.

Most diseases can’t be treated solely with lifestyle intervention, and obesity is no exception. Medication usage isn’t one size fits all. Some people may find success in temporary usage while others, like me, may need to take it long term. Obesity is a domino for other health conditions—from sleep apnea to cardiovascular issues to poor mental health. For me, perhaps the biggest lesson I’ve learned through my experience is that there isn’t enough obesity care without the bias, shame, and blame.

I cofounded knownwell, a metabolic health company focusing on comprehensive obesity and primary care, to give people like myself a place to feel seen and heard. Even I, an obesity medicine specialist, needed a village—top doctors, dietitians, trainers, and more—to get me to where I am on my health journey today. I hope to be part of that village for others.

Although it feels like GLP-1s like Ozempic and Wegovy are brand new because everybody is talking about them, the reality is, they’ve been a science-backed solution for people living with obesity for over a decade. This isn’t just a fad, and it’s not an easy fix—it’s a step in the right direction toward bridging the gap in chronic care for the disease of obesity.

People may judge those of us who choose to manage our obesity with comprehensive care by adding medication and surgery instead of relying solely on “diet culture,” but having taken medication myself for nearly 10 years, I can tell you, I’ve never been healthier. I’d much rather stick with weekly injections alongside a balanced diet and exercise plan, which supports a longer, healthier life, than risk gaining weight back and facing the complications that go with it. 

There is no “easy way” to lose weight. Weight loss isn’t a normal function of the human body, and many of us are genetically predisposed to abnormal weight gain in our current environment. Yes, the environment we live in needs to change, too, but right now, we have to live the best we can with the tools we have at our disposal—one tool being drugs like Ozempic.

More reading:

  • Weaning off Ozempic slowly instead of quitting abruptly can help prevent patients from regaining weight, study says
  • How drugs like Ozempic and Wegovy work for weight loss: ‘Food tastes good, but I don’t want it’
  • Weight-loss-aiding drugs Ozempic and Wegovy are dampening food sales, top Walmart exec says
  • The 5 biggest weight loss myths that ‘need to die,’ according to an obesity doctor

The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.

About the Author
By Angela Fitch
See full bioRight Arrow Button Icon
Add Fortune on Google for similar content.

Latest in Commentary

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Commentary

steve
Commentary250 Years of Innovation
Steve Case: America was built by entrepreneurs. Here’s how we keep that edge for the next 250 years
By Steve CaseJune 24, 2026
8 hours ago
t
CommentaryWhite House
Trump mistakes the bully pulpit for bullying leadership — history’s villains were never heroes
By Jeffrey Sonnenfeld and Steven TianJune 24, 2026
8 hours ago
mg
CommentaryHealth
The ‘tech neck’ time bomb: why 43 million young Americans could cripple U.S. health care within a generation
By Michael GerlingJune 24, 2026
9 hours ago
sb
Commentaryclimate change
The climate policy triangle: why leaders can no longer choose between growth, security and sustainability
By Sebastian BuckupJune 23, 2026
23 hours ago
brett
CommentaryManagement
Middle managers aren’t going extinct—they’re evolving into something more powerful
By Brett HurtJune 23, 2026
1 day ago
ravi
CommentaryAI agents
Yale School of Management: surveillance pricing is just the beginning. AI agents will be the real test of corporate trust
By Ravi Dhar and Jon IwataJune 23, 2026
1 day ago

Most Popular

After forcing workers back to the office, Goldman Sachs and JPMorgan Chase are now letting their staff work remotely—but only for the World Cup
Success
After forcing workers back to the office, Goldman Sachs and JPMorgan Chase are now letting their staff work remotely—but only for the World Cup
By Orianna Rosa RoyleJune 23, 2026
1 day ago
The Pentagon said Iran War costs $29 billion, but the real cost is closer to $200 billion—and counting
Economy
The Pentagon said Iran War costs $29 billion, but the real cost is closer to $200 billion—and counting
By Jacqueline MunisJune 24, 2026
13 hours ago
Current price of oil as of June 23, 2026
Personal Finance
Current price of oil as of June 23, 2026
By Joseph HostetlerJune 23, 2026
1 day ago
Current price of gold as of June 23, 2026
Personal Finance
Current price of gold as of June 23, 2026
By Danny BakstJune 23, 2026
1 day ago
Texas and Charlotte used to build huge McMansions—now they're copying the California design tricks they once mocked
Real Estate
Texas and Charlotte used to build huge McMansions—now they're copying the California design tricks they once mocked
By Sydney LakeJune 22, 2026
2 days ago
Markets tumble worldwide as Fed resets expectations: $400 billion wiped off SpaceX stock
Banking
Markets tumble worldwide as Fed resets expectations: $400 billion wiped off SpaceX stock
By Jim EdwardsJune 23, 2026
1 day ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.