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  #1   ^
Old Sun, Sep-08-24, 20:38
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Calianna Calianna is offline
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Default Weight-loss drugs change shopping habits

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Weight-loss drugs change shopping habits GLP-1 drugs such as Ozempic and Wegovy are booming among consumers. That means Americans are downsizing in fitting rooms and grocery aisles.

Amanda Hartman said she lost nearly 50 pounds on Wegovy.

Sarah Lowenthal has slashed her spending on junk food. Kait Handler snagged a pair of non-plus-size jeans that fit.

“I was never a shopper, probably because I couldn’t be,” said Handler, 40. “Those jeans were an indicator, a possibility, of what could be. They were a bellwether.” Get a curated selection of 10 of our best stories in your inbox every weekend.

All three have changed their shopping habits after slimming down on glucagon-like peptide-1, or GLP-1, medications such as Ozempic, Wegovy and Zepbound. Industry experts expect many more Americans will do the same as those drugs’ explosive popularity, fueled by their ability to help people lose weight, reverberates across the retail sector.

One in eight U.S. adults have tried a GLP-1 medication and about 6 percent — or 15 million — currently have a prescription, according to a May survey by KFF. Although drugs such as Ozempic originally were developed to treat chronic conditions such as diabetes, about 40 percent of the KFF respondents tried the drugs to lose weight. By 2030, JP Morgan Research forecasts that such weight-loss treatments will grow into a $100 billion market serving 30 million Americans.

That means Americans are starting to downsize in fitting rooms and grocery aisles. While the trend is still in its infancy, retailers in every category are already contending with how to adapt to slimmer, less hungry and often more fashion-forward shoppers.

“It’s really hard to deny that as greater GLP-1 usage has been happening, there are a lot of very sizable, very tangible ripple effects on retail,” said Mansur Khamitov, an assistant professor at Indiana University’s business school. “It’s a real opportunity. It’s just a matter of who’s going to capitalize on it and leverage it.”

Luxury clothing retailers were quickest to jump on the downsizing trend. Early adopters of weight-loss drugs have tended to be wealthy because insurers have been slow to cover Ozempic’s out-of-pocket price of about $1,000 a month. That presented an opportunity for high-fashion brands to court thinner shoppers, according to Nora Kleinewillinghoefer, a partner at Kearney who focuses on luxury and fashion.

Purchases of size “small” women’s clothing increased 5 percent between 2022 and 2024 on New York’s Upper East Side — an affluent area with a high percentage of non-diabetic weight-loss drug prescriptions, according to research from Impact Analytics, which helps retailers manage their inventory and sizing.

The firm looked at sales from retailers’ flagship stores on Madison Avenue between 2022 and 2024 and found the size curve in women’s clothing — particularly long-sleeve button-up shirts — has been trending smaller. Sales of those shirts in sizes XXS, XS and S have increased by 12 percent since 2022 while sales of L, XL and XXL have decreased by nearly 11 percent. Men’s clothing has also experienced a detectable but less pronounced shift toward smaller sizes, the report said.

“Most brands are actively observing, reacting to and jumping on these trends,” Kleinewillinghoefer said. “They’re thinking about different product ranges. They’re thinking about inventory management, how to shift the size curve downward.”

Before Handler lost 50 pounds on Zepbound, the mall felt like a trap. The 40-year-old from Amityville, N.Y., said she has struggled with her weight for most of her life and often compromised on style, fit and comfort with clothes. But on a recent shopping trip, she found herself inside Madewell — a clothing store she would have never entered before she lost weight.

She meandered around the store and stumbled upon a pair of jeans, holding them up to her waist as a salesperson approached her. “Do you want to try those on?” she recalled the worker asking. “Yes, definitely!” she replied, although she was really thinking, “This is going to be embarrassing,” she told The Washington Post.

Instead of pretending to try the pants on — her usual go-to when coaxed into a fitting room by a well-meaning retail worker — she gave it a shot. To her surprise, the size 33 waist fit. And even better: they were on sale.

So for the first time in years, she bought jeans that fit from a store that doesn’t specialize in plus sizes. “This has been both an uncomfortable and sensational experience for me,” Handler said. “What do you mean I can walk into a store and buy an article of clothing? Emergency dress? No problem. Stain on your pants before a big work meeting? Head to the shops. Lost luggage? Just go into a store and buy something wherever you are.”

After losing nearly 50 pounds on Wegovy, Hartman ditched the “matronly” look of many plus-size clothes and started wearing tighter and corseted styles. The Chicago resident purchased from sustainable and secondhand brands and spent more than $1,000 on a few items from a SoHo boutique during a trip to New York.

“I had sort of prepared for this moment and put savings aside to be able to say ‘Okay, these are my staple, really nice pieces,’” said Hartman, 25. “It makes more sense to invest in more timeless pieces that are not going to go out of style, that are higher quality, that are a little bit more expensive.”

The downsizing trend could also erode a decade of size inclusivity progress in retail. Representation for bigger sizes among luxury brands has recently declined, according to the Vogue Business Spring/Summer 2025 menswear size inclusivity report, which found that only three of the 65 brands on the runway this season had at least one plus-size model, compared with eight out of 69 just four seasons earlier. Non-luxury brands such as Loft and Old Navy have also pulled back on their plus-size offerings in recent years.

Retailers that carry plus-size offerings, including Torrid, Eloquii, Maurice’s and Universal Standard, told The Post they haven’t seen a shift in demand so far. But some of them said they were open to expanding their smaller-size offerings.

“You have to wonder, is it another trend? Is it something that really is here to stay?” said Julie Carnevale, the co-founder of Eloquii. “Never say never. We’re here to serve this customer and give her fashion, and if we start to see this in our numbers, we absolutely would be open to serving her at a size 12 or a size 10. … The reality is that we’re just not seeing that in the numbers quite yet.”

Others decried the shift away from body inclusivity. Size trends are reverting back to “more antiquated, unrealistic standards,” which unfairly erases plus-size shoppers from fashion conversations they deserve to be included in, said Polina Veksler, the co-founder and CEO of Universal Standard.

Even some people who have changed their shopping habits have found it jarring to ditch plus-size clothing. Lowenthal, 29, spent more than a decade putting together a plus-size wardrobe that made her feel confident. Now the Tallahassee resident finds herself rethinking her style “on the fly” every two or three months as her weight fluctuates on Ozempic, leading her to cycle through clothing items in multiple sizes.

Lowenthal’s habits have also shifted in the grocery aisle. If she kept snacks in her house before starting Ozempic, they would all be gone within days. Now, after nearly a year on the drug, she no longer has obsessive thoughts about food.

“I felt like I was in the passenger seat when it came to food cravings,” Lowenthal said. “These drugs [put] you back in a place where you can control what you’re eating, where you can control your thoughts, where you can control what goes in and out of your body.”

JP Morgan Research found that people currently using weight-loss treatments purchased about 8 percent less food — including snacks, soft drinks and high-carb products — between November 2022 and 2023 than consumers not on the drugs. Weight-loss medications suppress appetites by making people feel fuller for longer.

Some people who take the drugs have also had an easier time controlling their impulses, which helps them resist junk food cravings. Processed food companies such as General Mills and Conagra saw a decrease in U.S. snack sales between 2023 and 2024, according to SEC filings. PepsiCo’s FritoLay division, which sells Dorito and Lay’s chips, also reported a slight dip in snack sales in its most recent quarter.

Hartman has firsthand experience with changes in her grocery basket.

She still buys the occasional junk food, but eats more intuitively now. Before, she could finish half a pint of ice cream in one sitting. Now, she eats a few bites biweekly.

“I try not to deprive myself, so I always have a sourdough loaf on hand and I have a ton of ice cream pints in my freezer,” Hartman said. “The caveat is that it takes me much longer to get through everything, so my purchase cycle has become a lot longer for these junk foods.”

Popular weight-loss treatments can also cause people to lose muscle mass, so consumers such as Hartman have also swapped out zero-sugar, low-calorie meal plans for high-protein, healthy snacks. Those healthier habits don’t bode well for major grocery chains and packaged food companies.

Most grocers sell a lot of unhealthy food at small profit margins, according to Simon Somogyi, a Texas A&M professor who studies food consumer behavior. But slimmer consumers often switch to healthier food items that sell fewer units, albeit at higher margins. If grocers stop selling mountains of candy and chips each day and shift to lower volume products, they’ll have to rethink how they arrange their stores, Somogyi said.

“It sounds odd because it’s a good thing that people are buying more healthy food, but it’s not typically in line with retailers’ strategy,” he said.

Sugary displays near check-out lines could disappear, and whole aisles of chips and ice cream eventually could be replaced by more fresh produce and protein, said Somogyi, who suspects that manufacturers of high-calorie, processed foods worry about keeping their prime supermarket placement.

Even manufacturers of diet foods — such as Lean Cuisine or Healthy Choice — are now in a race to support, rather than prompt, consumers’ weight loss. Somogyi expects other companies to follow suit with initiatives such as grocer-gym partnerships, high-protein meal rollouts and loyalty perks for shoppers taking weight-loss drugs.

The food industry has to help people losing weight become aware of high-protein products, said Russell Zwanka, who directs the food management program at Western Michigan University.

“We can make it easier for them,” Zwanka said. “We can call it out on the packaging. … We can help them call it out on the shelf.”

Weight Watchers in December launched a program that specifically caters to those taking weight-loss drugs. Nestlé, the world’s largest food and beverage company, has also launched products to support consumers’ weight loss. The company sees the rise of weight-loss drugs as an opportunity to push into an emerging market, rather than a threat, a Nestlé spokesperson told The Post.

Zwanka likened the rise of weight-loss drugs to the challenges grocers and manufacturers faced when vegan and paleo diets gained popularity. The industry has adapted to shifts in consumer diets before, but weight-loss drugs could have a lasting effect, he said.

“You always have some reason why people might eat less or shift their focus, but this one is the first time, other than maybe liposuction, that actually makes it painful to exceed the allotted amount of food,” Zwanka said. “That’s kind of a game changer.”


https://www.washingtonpost.com/busi...gs-retail-food/
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  #2   ^
Old Sun, Sep-08-24, 20:56
Calianna's Avatar
Calianna Calianna is offline
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Unless the ones who are using the GLP-1 drugs can afford to pay for them on their own when they (inevitably) regain weight, they'd better keep several sizes of their plus sized clothes handy.

They may be eating a lot less food while on the drug, but if they're relying on insurance to foot the bill, they're only going to pay $1,000+/month as long as they're losing weight. Once the insurance company determines that you've lost enough weight, or your weight loss slows to the point that the drug is considered no longer effective, you'll be on your own - to either pay to continue the drug, or white knuckle your way through constant cravings for the foods that you could eat a couple of bites of and want no more while on the drug.

The drug is controlling their appetite. Take the drug away, and the appetite will most likely come back with a vengeance.

Admittedly there might be a few people who don't end up eating their way back up the scale after they stop taking the drugs - but they're eating the same diet they ate that ended up causing them to gain so much weight.

Quote:
Hartman has firsthand experience with changes in her grocery basket.

She still buys the occasional junk food, but eats more intuitively now. Before, she could finish half a pint of ice cream in one sitting. Now, she eats a few bites biweekly.

“I try not to deprive myself, so I always have a sourdough loaf on hand and I have a ton of ice cream pints in my freezer,” Hartman said. “The caveat is that it takes me much longer to get through everything, so my purchase cycle has become a lot longer for these junk foods.”



I feel like telling her "oh you sweet summer child, you have no idea how naive you are"

She obviously doesn't understand what eating intuitively really is - right now a drug is in charge of her "intuitive eating". Once she no longer has access to that drug, her natural intuitive eating patterns will be back in full force.... and there she is with a ton of ice cream pints in her freezer. I'd almost bet that within a couple weeks of stopping the drug, every one of those pints will be gone, and there will be zero willpower to resist buying more.
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  #3   ^
Old Sun, Sep-08-24, 22:06
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Ms Arielle Ms Arielle is online now
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My first reaction is always envy.

But reality then hits hard.


Just keep working a low carb or no carb menu, and get the same results. Or almost. Slower weight loss but get to keep more of the muscle.

And learn how to keep the weight off!!
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  #4   ^
Old Mon, Sep-09-24, 03:41
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JEY100 JEY100 is offline
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Plan: P:E/DDF
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From someone I follow in X. Still holding her loss weight as of last month: "I started keto in 2018 weighing in at 251 lbs at 5’6”. In 2019 I hit a stall at 200lbs and maintained that weight +/- 5lbs until 2021 when I began a slow regain until I hit 220.2 lbs in August 2022. I never cheated in that time and was eating carnivore. In August 2022, I asked my doctor, an obesity specialist, for an RX for Mounjaro after reading about it. He counseled me on the pros and cons but felt it could help me. Since then, I’ve gone from 220 to 156 and will fight like hell to maintain knowing the relapse rate is high." A post a month ago in response to a stupid comment about keto being like a fast: "As someone who RELIGIOUSLY followed keto and then carnivore for over 4 years, I can tell you that my food noise, obesity and comorbidities did not resolve until I took Mounjaro 2 years ago. This drug has saved my life." End quote from 5 weeks ago.

How many years should she have "just keep working low carb"? She tried for 4 years…Before she woke up to the fact that LC/keto/carnivore/fasting does not work for weight loss for everybody, especially not for her. She used the medications correctly with her doctor's supportand now maintains a healthy weight with high protein, moderate carb/fat diet, resistance training. If as they indicate in the story, snacks are now high protein, less high fat keto junk on the shelves, we may all get healthier.

Last edited by JEY100 : Mon, Sep-09-24 at 04:39.
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  #5   ^
Old Mon, Sep-09-24, 09:03
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Calianna Calianna is offline
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Jey - That's great for the lady you follow on X - and she's determined to keep the weight off. I also realize that what works for one person doesn't necessarily work for anyone else. If this is working for her long term, more power to her.

Although frankly I'm surprised that her "food noise" is still gone while being off the drug since reaching 156 lbs (doesn't say how long she's been off of the GLP-1 - at least I'm assuming she's been off of it for a while, since she's saying she reached 156, and is determined to keep the weight off), because for most people the "food noise" seems to return as soon as each dose starts to wear off, and they are either (a) literally white knuckling it until the next dose kicks in, or (b) are so ravenous on those days that they give in and consider it to be a day or two of freedom to eat and drink as much junk as they want.

The thing is that most people I've seen doing GLP-1 drugs are eating mostly starch - think saltines because whole grains are too difficult to digest. Very little protein, mostly in the form of protein shakes, because meat is way too hard to digest. Almost no fat. Maybe (MAYBE) some fruit and veggies. Eating so little keeps their calories down - as well as keeping their carbs well below RDA levels, because they just can't eat RDA levels of anything. So naturally they lose weight - you can't eat that little and NOT lose weight.

(And to be clear, I think all of us on here realize that keto and carnivore are the most extreme versions of LC diets. If you're not satisfying your micronutrient needs on keto or carnivore, you can indeed end up exceeding your caloric needs in an attempt to satisfy nutritional needs. Also if you're lost weight to the point that your calorie intake has caught up with your calorie expenditure, you're not going to lose weight, and could very easily end up gaining weight, especially in an attempt to satisfy nutritional needs. On the other hand, we also know that even diets that are 120-150 carbs/day are still significantly lowER carb diets than recommended by the USDA. So even though most of us don't eat anywhere near that many carbs daily, and don't tend to consider them to be truly LC diets, they are still far lower in carbs than the DGA standards, and therefore still fall under the umbrella of carb restricted, if not truly LC)


I just see far too many people treating the GLP-1 as if it's the only way to control food consumption. The food noise for some people has been turned down to a point where they end up "forgetting" to eat until late in the day, then barely eat anything at all when they do eat and then eating a few saltines or a banana fills them up to the point that they can't eat any more until they finally remember to eat something the next day... and that continues until that dose wears off, then the food noise is back with a vengeance and they eat and drink everything that they couldn't eat while the drug was in their system... until the next dose kicks in when they go back to barely eating anything again.

They are losing weight of course - you can't help but lose weight when you eat so few calories, even if you have a day or two each week when you splurge and consume several times as much as you do on the GLP-1 effective days. Those are the people I really fear for what will happen when they inevitably are cut off by their insurance company - they can't control their eating for the day or two when the dose has worn off, how will they ever control it long term?


As far as food manufacturers shifting to foods that appeal to those doing GLP-1 drugs, what we've seen so far is that they're saying their new improved meals are high protein - but the protein content is likely either the same or even less than in their previous offerings. Carbs are about the same as before, except when they're even higher than before, since carbs are easier to digest than protein on GLP-1 drugs. Dietary fat is minimal, since that's extremely difficult to digest on GLP-1 drugs, and is also in keeping with the DGA standards.

One can hope that they'll shift to better nutrition overall, but as long as the RDAs are so strongly geared towards high carbs, low fat, and minimal protein, that in itself will stifle their eagerness to improve the ratios significantly.

There many be less interest in candy, chips, and cookies in general on GLP-1 drugs, so that may ultimately reduce the amounts of those treats available in stores. Manufacturers may also cut back portion sizes on snack foods and candies to the point that someone on GLP-1 can buy a snack size container of chips or cookies that they can eat without feeling bad on them. (And people not on a GLP-1 will be complaining that the single serving size of M&M's or Pringles has been cut back but still costs as much as before - they really don't understand that the processing and packaging is a huge part of the cost)

Just like the lady in the above article says she has a ton of ice cream in her freezer, but she only eats a couple bites at a time, so she's significantly reduced the portion of her treats - she still wants her treats, she's just eating less of them. Which is certainly a significant improvement.

My concern (and this may just be me and my addictive personality), but my concern is that once she no longer has a therapeutic dosage of GLP-1 in her system, she will be likely to slowly increase her few bites to a few more bites, and a few more bites... and eventually she'll be eating a whole container again. If she intends to maintain her weight loss, she'll either need to cut out the ice cream permanently and completely, or stay on a therapeutic dosage of GLP-1 for life.

Last edited by Calianna : Mon, Sep-09-24 at 12:59.
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