Comment by pessimizer

I think a lot of this is that being overweight makes you look fluffy and younger - being just a little "overweight" even makes you look healthier.

So people who were fat and get to a normal weight, if you've always known them as fat then they look like they've aged a decade or two in a year. People who were totally normal weight (i.e. "overweight" according to BMI, which is associated with a longer lifespan than "healthy weight") end up looking like tuberculosis Romantics because they wanted to look like movie stars (who are often on severe, unhealthy diets that they stop when they're not working.)

Losing weight quickly often loses it badly - think meth addicts. Women lose fat from their breasts and both sexes lose the fat pad around the eyes; I think these are generally stable fat stores that don't really replenish after being used, even if you gain the weight back. It's not specific to GLPs, just quick weight loss. If you'd lost more slowly your body wouldn't have resorted to taking from those places. Now, you have super-deep nasolabial folds and marionette lines.

> lost weight with diet and exercise

You lose weight through diet. You gain fitness through exercise.