{"id":6624,"date":"2026-04-03T19:01:04","date_gmt":"2026-04-03T19:01:04","guid":{"rendered":"https:\/\/4guysmagazine.com\/?p=6624"},"modified":"2026-04-03T19:01:22","modified_gmt":"2026-04-03T19:01:22","slug":"how-ozempic-is-impacting-gay-mens-body-image-and-ability-to-bottom","status":"publish","type":"post","link":"https:\/\/4guysmagazine.com\/?p=6624","title":{"rendered":"How Ozempic is impacting gay men’s body image\u2014and ability to bottom"},"content":{"rendered":"\n

Everything you need to know about the benefits and drawbacks of this trending drug.<\/h2>\n\n\n\n

Ozempic and other GLP-1 weight-loss medications are being heralded as miracle drugs \u2014 and they likely are for people with real health concerns \u2014 but they\u2019re also having a distressing negative effect: an increase in toxic body image issues in the queer community.<\/p>\n\n\n\n

These prescription drugs not only help patients lose weight, but also control Type 2 diabetes, lower blood pressure, and improve cholesterol levels. But these health benefits don\u2019t come without drawbacks.<\/p>\n\n\n\n

While there are no current studies detailing GLP-1 use within the LGBTQ+ community, Hollywood seems to be getting thinner and thinner recently, and queer celebs like Margaret Cho, Jonathan Van Ness, Rosie O\u2019Donnell, Boy George, and Harvey Fierstein have all been touting the medication\u2019s benefits.<\/p>\n\n\n\n

So we talked to experts to get to the bottom of who should be taking GLP-1s, if there are any health concerns specific to queer people, and what kind of negative impact these medications have on the gay community, which already struggles with toxic gym culture and body shaming.<\/p>\n\n\n\n

Who is Ozempic appropriate for?<\/h2>\n\n\n\n
\"Ozempic.\"\/<\/figure>\n\n\n\n

Ozempic.<\/small>mikeledray\/Shutterstock<\/small><\/p>\n\n\n\n

Ozempic, a.k.a. semaglutide, is the most well-known medication in a class of drugs called GLP-1 receptor agonists (others include Wegovy, Mounjaro, Zepbound, and Saxenda), which mimic the GLP-1 hormone that regulates blood sugar and appetite. These drugs were originally created to address Type 2 diabetes, but have since been approved for weight loss.<\/p>\n\n\n\n

Dr. Kevin R. Gendreau<\/a>, a gay double-board certified physician in both family medicine and obesity medicine, mostly prescribes GLP-1s for patients struggling to lose weight or control their Type 2 diabetes, but he also uses them to treat other chronic conditions like sleep apnea, pre-diabetes, cardiovascular disease, fatty liver, hypertension, and Polycystic Ovary Syndrome (PCOS). While he said these drugs make \u201cyou feel fuller quicker, decrease cravings and ‘food noise,\u2019 slow down gastric emptying, and work directly in the pancreas to dial down insulin resistance,\u201d he warns that they also come with side effects and shouldn\u2019t just be used for the pursuit of thinness.<\/p>\n\n\n\n

But regardless of the reasons you are taking the medication, society has focused on people losing weight, which can intensify a culture that is already image-obsessed and rewards people for being skinny.<\/p>\n\n\n\n

\u201cA healthy patient may be taking the medicine to shrink their body simply to exist in a world filled with weight stigma that harshly judges anyone living in a larger body,\u201d said Dr. Anne Marie O\u2019Melia<\/u><\/a>, a physician and psychiatrist who works in eating disorder recovery. \u201cPrescribing GLP-1 agonists for cosmetic purposes refuels the cultural and medical mythology that weight is a choice and size is a disorder that needs correcting.\u201d<\/p>\n\n\n\n

How are GLP-1s impacting body image in gay men?<\/h2>\n\n\n\n
\"\\u200bNaked<\/figure>\n\n\n\n

Naked male torsos.<\/small>Volodymyr TVERDOKHLIB\/Shutterstock<\/small><\/p>\n\n\n\n

“Thin is in” again in America, and this is especially true for gay men who have to deal with toxic gym culture, image-obsessed circuit party culture, and finding body-shaming phrases like \u201cno fats, no femmes,\u201d and \u201cgym-fit only\u201d all over dating apps like Grindr.<\/p>\n\n\n\n

The immense pressure gay and bisexual men are under to be fit and have the perfect body means that they have disproportionate rates of eating disorders. A study by the National Library of Medicine<\/u><\/a> found that \u201cthe proportion of gay and bisexual men with symptoms related to disordered eating was 10 times higher than among heterosexual men.\u201d And the National Eating Disorder Association<\/u><\/a> reports that the LGBTQ+ community experiences \u201chigher rates of eating disorders compared to their heterosexual and cisgender peers\u201d and deals with more \u201ceating disorder symptoms\u201d when they enter treatment.<\/p>\n\n\n\n

\u201cGay and bisexual men already experience a lot of pressure around appearance, and the ideal body image in queer spaces can be extremely limiting,\u201d said Licensed Psychotherapist Pam Skop<\/u><\/a>, who specializes in therapy for LGBTQ+ patients. \u201cSo when medications that promise weight loss become available, that can intensify these pressures. If you already feel like your body determines your acceptance or desirability, these medications are likely just to become another tool to try to \u2018fix’ yourself rather than solely for improving health.\u201d<\/p>\n\n\n\n

Gendreau said that as a doctor and \u201ca gay man who used to weigh 306 pounds with a history of binge-eating disorder,\u201d he is uniquely qualified to speak to how GLP-1s can make disordered eating patterns worse, especially for gay men who are hyper vigilant about appearance.<\/p>\n\n\n\n

\u201cIn a community that already deals with disproportionally high rates of body image pressure, suicidal ideation, and disordered eating, there is<\/em> a real risk that these meds get co-opted to fuel restrictive eating or perfectionism rather than health improvements,\u201d he said.<\/p>\n\n\n\n

Are these drugs making the toxic body image issues within the gay community worse?<\/h2>\n\n\n\n
\"\\u200bMan<\/figure>\n\n\n\n

Man standing on a scale.<\/small>Dasha Petrenko\/Shutterstock<\/small><\/p>\n\n\n\n

There are serious benefits to these medications \u2014 including controlling chronic conditions, treating metabolic disease, and quieting \u201cfood noise\u201d \u2014 but they don\u2019t exist in a vacuum, and in a society that puts enormous pressure on gay men to look a certain way, they can be destructive.<\/p>\n\n\n\n

\u201cThe medications themselves aren’t really the root problem…the culture \u2014 diet image culture, body image culture, a societal obsession with thinness \u2014 is the problem,\u201d Gendreau said. \u201cThe medications simply amplify what is already there. If someone already believes they need to look a certain way to be desired, rapid weight loss can pour gasoline on that fire.\u201d<\/p>\n\n\n\n

For some, taking Ozempic or a similar drug may make them feel more comfortable in their own body, and Skop said that patients should still take them when it is \u201cmedically appropriate,\u201d but she warned against thinking it will fix their mental health.<\/p>\n\n\n\n

\u201cGLP-1s are being introduced into a world that already has strong messages about what bodies should look like and which bodies are valued,\u201d she said. \u201cRemember that a medication can change appearance or body size, but it doesn\u2019t heal body shame or erase stigma.”<\/p>\n\n\n\n

Can you still bottom while taking Ozempic?<\/h2>\n\n\n\n
\"Two<\/figure>\n\n\n\n

Two men cuddling in bed.<\/small>Rawpixel.com\/Shutterstock<\/small><\/p>\n\n\n\n

Gendreau also said that aside from the way the broad cultural acceptance of GLP-1s may be perpetuating body image issues, gay men should also be warned by their doctors about how the digestive problems associated with the drugs could make bottoming more difficult \u2014 at least at first.<\/p>\n\n\n\n

\u201cThis doesn’t get talked about enough \u2014 or at all? \u2014 and it should,\u201d he said. \u201cCommon side effects like constipation, bloating, and cramping can absolutely affect how someone feels physically and sexually. For gay men, those symptoms can make intercourse uncomfortable.\u201d<\/p>\n\n\n\n

GLP-1s can cause nausea, vomiting, diarrhea, constipation, bloating, and irregular bowel habits, all of which can impact one’s ability to participate in receptive anal intercourse.<\/p>\n\n\n\n

To help manage these symptoms, Dr. Gendreau recommends staying hydrated by drinking 8 to 10 cups of water per day, making sure to get enough fiber, talking to one’s doctor about adjusting dosage of the GLP-1, and remembering that many of these symptoms will decrease as your body adjusts to the medication. But ultimately, \u201cclinicians should be proactively asking their patients about this, rather than waiting for them to bring it up,” he said.<\/p>\n","protected":false},"excerpt":{"rendered":"

Everything you need to know about the benefits and drawbacks of this trending drug. Ozempic and other GLP-1 weight-loss medications are being heralded as miracle drugs \u2014 and they likely are for people with real health concerns \u2014 but they\u2019re also having a distressing negative effect: an increase in toxic body image issues in the<\/p>\n","protected":false},"author":3,"featured_media":6625,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[95],"tags":[],"class_list":{"0":"post-6624","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-appearance"},"_links":{"self":[{"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=\/wp\/v2\/posts\/6624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6624"}],"version-history":[{"count":1,"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=\/wp\/v2\/posts\/6624\/revisions"}],"predecessor-version":[{"id":6626,"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=\/wp\/v2\/posts\/6624\/revisions\/6626"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=\/wp\/v2\/media\/6625"}],"wp:attachment":[{"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/4guysmagazine.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}