Marriage and Sex in the Age of Ozempic

Marriage and Sex in the Age of Ozempic

October 07, 2025 37 min
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🤖 AI Summary

Overview

This episode explores the profound impact of GLP-1 weight-loss drugs, such as Ozempic, on personal relationships, focusing on one couple's marriage. The discussion delves into how these medications reshape not only physical health but also emotional dynamics, intimacy, and identity within partnerships.

Notable Quotes

- If you are able to eat just five french fries instead of the whole plate, it gives you grounding in the idea that you can control things in your life that you didn’t think you could control.Lisa Miller, on the psychological empowerment of GLP-1 drugs.

- I used to love feeling her body, her big body, next to me in bed... That’s no longer an option.Javier, on the loss of physical intimacy after his wife’s weight loss.

- I don’t want to have sex, but before I would, because I felt like it was my responsibility.Jean, on setting boundaries in her marriage post-weight loss.

🧬 The Weight-Loss Revolution and Its Psychological Impact

- GLP-1 drugs like Ozempic and Wegovy are transforming lives, with one in eight Americans having tried them.

- These medications suppress appetite, leading to rapid weight loss and reduced food noise, which many users describe as life-changing.

- Beyond physical changes, the drugs empower users to feel in control of their lives, influencing habits, relationships, and self-perception.

💔 Marriage Dynamics and Weight Loss

- The episode focuses on Jean and Javier, a couple whose marriage was deeply affected by Jean’s weight loss.

- Jean’s transformation led to a shift in their shared lifestyle—she lost interest in alcohol and late-night socializing, activities that had bonded them.

- Javier struggled with the changes, missing the physical and emotional intimacy they once shared.

🛑 Redefining Boundaries and Identity

- Jean’s weight loss allowed her to assert boundaries for the first time, including saying no to sex, which she previously felt obligated to engage in.

- She began to explore her introverted side, prioritizing her own needs over being a pleaser.

- This newfound autonomy created tension, as Javier felt he no longer recognized the person he married.

⚖️ The Emotional Toll of Transformation

- The couple’s sex life disappeared entirely, with Javier mourning the loss of Jean’s former body and the sensuality it represented.

- Jean, still adjusting to her new body, struggled with intimacy and self-acceptance.

- Therapy exercises aimed at rebuilding physical connection were unsuccessful, highlighting the depth of their disconnect.

🌀 Flexibility as the Key to Relationship Survival

- Experts suggest that couples who adapt to change with flexibility fare better. Rigid expectations around shared rituals and roles can fracture under such transformations.

- For Jean and Javier, the process of renegotiating their unstated contract as a couple remains ongoing.

- Despite their struggles, they’ve found moments of empathy and understanding, though their physical intimacy remains unresolved.

AI-generated content may not be accurate or complete and should not be relied upon as a sole source of truth.

📋 Episode Description

In the last few years, GLP-1 weight-loss drugs like Ozempic and Zepbound have been radically reshaping the people’s lives, changing appetites and health.

But the drugs also have the power to affect other parts of consumers’ lives, including their romantic relationships.

Lisa Miller, who writes about health for The New York Times, tells the story of how these drugs upended one couple’s marriage.

Guest: Lisa Miller, a domestic correspondent for the Well section who writes about personal and cultural approaches to physical and mental health.

Background reading: 

Photo: Katherine Wolkoff for The New York Times

For more information on today’s episode, visit nytimes.com/thedaily. Transcripts of each episode will be made available by the next workday. 


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