The American diet is insane, full stop. However, I've just begun a GLP-1 regimen to address a willpower problem, not a nutritional problem. I'm not quite young anymore and have given lots of other approaches a shot over the years, but have persistently failed to achieve a weight that is not a threat to my health.

So far, what being on a GLP-1 gives me is a steady state that most people probably find quite unremarkable: I don't crave a snack, and I don't thirst for alcohol. Both of those desires have had real control over me for a very long time.

> Ozempic Users Actually Spend More Dining Out.

> ..In casual dining establishments, they spend 25% more than non-GLP-1 households do, the market researcher says. Data firm Numerator shares similar findings, noting that while GLP-1 users report eating out less and cooking at home more, their spending says otherwise: “Verified purchase data reveals that their fast-food buy rate is up 2%.”

https://www.bloomberg.com/news/articles/2026-01-02/ozempic-g... (archive: https://archive.ph/V6Erv)

I would guess that this is because people are replacing full-blown meals with smaller snacks. The meat snacks is probably because people are warned about losing muscle mass. Perhaps this affects yogurt consumption as well.

> Notably, about one-third of users stopped taking the medication during the study period.

This seems pretty high considering they're only following people for 6 months. I guess people are most likely to have side effects at the beginning, but I feel like I've not gotten the sense that a third of people bail within the first year, due to side effects or other reasons.

This isn't always the patient's choice—my insurance/PBM (CVS Caremark) dropped coverage for the GLP-1 that I was taking (Zepbound) and had several rounds of prior-authorization shenanigans over a few months before they approved the previous-generation GLP-1, Wegovy. Now I've had to start the ramp-up of a different medication again, which hurt and stalled progress. Evil.

We can see that with food: as soon as the shaming of people for being fat weakened, as it happened primarily in the US and then in the Western world at large, people started to indulge without guardrails.

We can see that with clothing and appearance: people started to dress slovenly, preferring comfort to being presentable and well-put together.

We can see that with "productivity": people started doomscrolling for hours or watching hours upon hours of life lived by other people, instead of living their lives.

Within six months of starting a GLP-1 medication, households reduce grocery spending by an average of 5.3%.

A household doesn't take Ozempic, a person does. Are they implying that if everybody in the household takes Ozempic, as a group they see a 5% reduction? Or, any one person in the household causes a 5% reduction for the group? The average household in the US is 2.5 people...

It's interesting that overall spending doesn't decrease that much in the end, although shifting from snacks to fruit is the kind of change health advocates have always wanted?

> Within six months of starting a GLP-1 medication, households reduce grocery spending by an average of 5.3%.

Interesting. Wonder what it is about yogurt and ozempic users. Probiotics?

Everything is made as much as possible from scratch with fresh, frozen or dried ingredients. The only downside is most fresh ingredients need to be used within a few days (lack of preservatives/additives) - which means often making a stew using anything left-over that needs to be eaten. But throwing a whole heap of ingredients in a pot for 2 hours is a very quick/easy meal.

There are some carve-outs as we don't have unlimited time/space so items like cheese, yoghurt, anything fermented we don't make our own - but we stick to organic and preferably low-salt.

We never eat out or buy takeaway; if we feel like pizza we make and bake our own bases, and the toppings are all fresh. Bread is particularly something we never buy and have reduced our consumption: baking your own is less convenient but we eat a lot of rolled oats instead.

We don't limit snacks like chocolate (organic, no added vegetable oils) or nuts and go through an insane amount of honey.

In terms of long term effects the only medical study I saw that concerned me was done on rats and showed a decrease specifically in the muscles of the heart. This was taking into account general weight loss and appetite suppression (which might more generally affect muscle mass). Not hugely concerning for the obese that might see massive benefits but for those who are already a healthy weight and taking it to get 6 pack abs it might be something to consider.

I was wondering how you could get such a high impact overall. But it seems one in 6 households are on GLP-1 drugs in the US.

In my friend circle in Germany I don't even know one single person on this stuff.

It's insane to me that so many people need these to get off the processed foods killing them in the US.

There's no economic correction. They're making causal claims without identifying mechanisms. Self selection bias, self reporting, the people being polled are the type of people who answer polls. Massive conflicts of interest with one of the authors benefiting from the company collecting the data. They don't collect causal medical information, and cannot justify any of the causality claims they're asserting, with virtually none of the confounders able to be corrected for from the data that was collected, nor able to be trusted or validated, based on how the data was collected.

Oh, Journal of Marketing Research. The paper is the marketing, got it.

This Numerator guy on the paper is an enshittification leech doing his best to profit off of the casual corruption of science. Stuff like this should be ridiculed and torched wherever it surfaces.

All the legitimate universities and publication platforms should try having actual standards and nuke these types of submissions from orbit, but instead I'm sure they're happy to get their little chunk of clickbait revenue.

This is legitimately nuts. We can choose not to let this be how people become wealthy and degrade everything they touch.

edit: Go down the rabbit hole and look how these people grift. Companies like this are exactly and precisely why we can't have nice things.

> Households with at least one GLP-1 user reduce grocery spending by 5.3% within six months of adoption,

The reduction is only within those households using GLP-1 drugs, NOT across the US as a whole. Same for the other claims in the paper.

(That still suggests that these drugs are responsible for a 0.8% drop in total grocery spending in the US, which is remarkable.)

It looks like it’s just for users, not across the board.

> Ultra-processed, calorie-dense foods – the kinds most closely associated with cravings – saw the sharpest declines. Spending on savory snacks dropped by about 10%, with similarly large decreases in sweets, baked goods and cookies.

My grocery spending has fallen significantly since I started ADHD medication. Both lisdexamfetamine and methylphenidate absolutely zeroed my appetite. When I walk around a grocery store I'm no longer tempted by anything I didn't actively go in to buy. This is a huge shift from my pre-medication days.

When I’m hungry, I eat, and that’s it, I don’t think about food until hours later when I get hungry again. It blows my mind that there’s people that just never stop thinking about food, even shortly after they’ve eaten, even when they’ve had their fill. We don’t have to live this way. Try to think about food less, it starts in the mind.

All economies have deep and sometimes non-obvious dependencies. I'm interested in what happens next.

Will food stores lay off workers? Will they change their mix of offerings? Where is the new equilibrium going to be?

As an example from the piece:

> Only a handful of categories showed increases. Yogurt rose the most, followed by fresh fruit, nutrition bars and meat snacks.

Will the unit prices of these products go up to compensate for the losses in savory snacks?

I snack, drink less, and feel like eating out significantly less. Or when I do those things, I eat the take-out meal over multiple-meals. 1-2 less takeaway meals and a svelter grocery bill due to the less booze or snacks probably is at least $50 if not more.

Sounds conspiratorial, but when you look at the revenue impact this is having, the deluge of baseless articles about it making your eyes fall out or “users who stop taking it gain the weight back” or whatever malady they can make a tenuous link to, it all make a lot more sense.

The biggest food companies do not want people to be thinner. They want people to buy their low-quality, high-margin products.

That’s very interesting and it confirms what i thought about this drug. It’s a life long commitment. As soon as you stop, you end up becoming your old self whereas you don’t lose all the gains when you stop paying a nutrition expert.

Just how many Americans are on Ozempic?

I worry that eventually fat people on GLP-1 will figure out a way to over eat, just as people with stomach reduction learned to sip calories all day long and get fat again…

The big processed food brands are clearly more aggressive in their discounts. Lower demand overall from GLP1s or common sense is part of it. But the other factor relates to the huge increases in prices starting during the pandemic.

I mean, 13 ounce bag of Doritos for $7.29? A box of freaking Cheerios for $5.99? Few people will touch that, so they're in a situation where they must discount heavily to move product. These particular products are on sale 2-3 weeks every month at $2.29 to $2.99 (see https://www.starmarket.com/weeklyad)

Is anyone surprised that hunger-affecting drugs used on a large scale are causing changes in consumer habits?

One might want to consider inflation in the balance...

> Spending on savory snacks dropped by about 10%, with similarly large decreases in sweets, baked goods and cookies. Even staples like bread, meat and eggs declined.

I can't read the paper (paywall), but that means something like the 10% of Americans who are on it must switch to purchasing almost no junk food.

>Within six months of starting a GLP-1 medication, households reduce grocery spending by an average of 5.3%. Among higher-income households, the drop is even steeper, at more than 8%. Spending at fast-food restaurants, coffee shops and other limited-service eateries falls by about 8%.

(i'm entirely being satirical)