Oprah Speaks Out About Obesity and GLP-1 Medications

Appearing makeup-free in loungewear during a morning Zoom call from Australia, Oprah Winfrey shared a moment that, for her, symbolizes a profound shift.

โ€œIโ€™ve just had a croissant. And I ate the full thing,โ€ she said casually per an article inย PEOPLE. Not long ago, that choice would have spiraled into anxiety. โ€œI would have been thinking, โ€˜How many calories in that croissant? How long is it going to take me to work it off?โ€™โ€ฆ Iโ€™d still be thinking about that damn croissant!โ€ This time, she felt nothing beyond the crumbs on the table.

That quiet is newโ€”and life-changing. Two and a half years ago, Winfrey began using a GLP-1 weight-loss medication after realizing she lives with obesity and could not manage it through willpower alone.

โ€œI thought it was about discipline and willpower. But I stopped blaming myself,โ€ she says. The insight is central to her new book with obesity specialist Dr. Ania M. Jastreboff,ย Enough: Your Health, Your Weight and What Itโ€™s Like to Be Free, out Jan. 13. โ€œI feel more alive and more vibrant than Iโ€™ve ever been.โ€

The transformation goes far beyond weight. Approaching her 72nd birthday on Jan. 29, Winfrey says exercise is no longer punishmentโ€”sheโ€™s โ€œside-planking and deadlifting.โ€

Sheโ€™s stopped drinking alcohol (โ€œI could outdrink everyone at the table,โ€ she laughs) and is surprised by feeling satisfied after meals. โ€œIโ€™m not constantly punishing myself,โ€ she says. โ€œI hardly recognize the woman Iโ€™ve become. But sheโ€™s a happy woman.โ€

Public scrutiny of Winfreyโ€™s body dates back decades, from her breakout role in The Color Purple to her talk showโ€™s national rise. Headlines like โ€œOprahโ€”Fatter Than Everโ€ lingered.

She remembers feeling confident in her work yet disappointed in her body: โ€œWas I embarrassed by it? Yesโ€ฆ I felt it was my fault.โ€ That shame was compounded, she admits, by her own participation in diet cultureโ€”like the infamous 1988 episode where she wheeled out 67 pounds of fat to show her weight loss, โ€œall to prove I could get back into a pair of size 10 Calvin Klein jeans.โ€

Despite extreme effortsโ€”fasts, intense workouts, even 10-mile hikesโ€”her body seemed to return to a set point around 211 pounds, what Dr. Jastreboff calls an โ€œEnough Point.โ€ โ€œMy body said, โ€˜We trying to get back to that 211, girl,โ€™โ€ Winfrey recalls. Health concerns followed: prediabetes and high cholesterol.

A 2023 special on obesity brought clarity. โ€œI avoided the word โ€˜obesity,โ€™โ€ she says. โ€œBut I came to understand that overeating doesnโ€™t cause obesity. Obesity causes overeating.โ€ That reframing changed everything. Though initially hesitant, she embraced GLP-1s as โ€œa reliefโ€ฆ a gift,โ€ as she told People. After briefly stopping the medication and regaining weight, she now understands it may be lifelong.

She describes GLP-1s as โ€œa tool to help you manage the messages that are being sent to your brain about overeating.โ€ She typically injects weekly, sometimes stretching to 10โ€“12 days, with minimal side effects: โ€œYou need to start slow and gradual.โ€

What sheโ€™s gained most is freedom from โ€œfood noise.โ€ โ€œEverything is just calmer and stronger,โ€ she says. Sheโ€™s even helped others afford medication.

Her message is clear: โ€œIf you have obesity in your gene poolโ€ฆ itโ€™s not your fault.โ€ Relationships have deepened, alcohol no longer appeals, and movement feels essential. Her stylist notices it, too: โ€œSheโ€™s looking better than sheโ€™s ever looked and more confident. Itโ€™s magnetic.โ€

Looking back, Winfrey wouldnโ€™t change her journey. Quoting a spiritual Maya Angelou loved, she sings, โ€œI wouldnโ€™t take nothing for my journey now.โ€ And today, she says simply, โ€œI am healthier now.โ€