
Body image and beauty standards for women have long shifted like fashion trends—one year in, the next out, often cycling every decade. Recently, Americans have seen a move away from body positivity and acceptance toward the ultra-thin ideals of “heroin chic.” Celebrity, influencer, and everyday social media posts alike are discussing dissolving their BBLs and turning to Ozempic or similar drugs to lose weight.
Women are sacrificing their health to fit into a very narrow standard of beauty. Ozempic, originally meant for diabetes management, has become a weight-loss tool for those who can afford it. “You can spend $1,000 a month and be thin,” says Dr. Caroline Heldman, Ph.D., author, journalist, and executive director of the Representation Project. Its long-term efficacy for weight loss has not been tested enough, yet the pressure to conform continues to grow.
This pressure is intersectional, both classist and racist. “About 300 years ago, we started to see the rise of white, thin purity as a way to differentiate white women from Black women with voluptuous bodies,” Heldman explains. Today, diet culture and society’s obsession with thinness still reflect these historic, racialized ideals, pushing women into unsafe beauty trends and fostering psychological distress.