01 · Cultural Shifts
On Broadway and on set, weight-loss drugs are now part of the job
On Broadway and on set, GLP-1 side effects are now a working condition: vocal coaches fight drug-related dry mouth, caterers watch crews eat less, and costume teams re-fit changing bodies.

The author, a culture journalist narrating her own audiobook, armed herself with jugs of water, mugs of tea, and chewing gum against the dry mouth that arrived with Wegovy — a nuisance for a writer who works alone at home, but something else entirely for the people she covers: actors, singers, and athletes whose bodies are their instrument and whose stamina is their paycheck. Use has spread fast — GLP-1 usage has nearly quadrupled since 2024, according to a Gallup survey released in July 2026 — and the side effects have become part of the working day across the entertainment industry.
Each trade has built its own workaround. Broadway vocal coach Aimée Steele says dry mouth used to come from antidepressants, then decongestants; now it is GLP-1 dryness, alongside more nausea, acid reflux, and fatigue in performers doing eight shows a week — countered with glycerin sprays, portable nebulizers, peppermint inhalations, and sleeping upright before performances. Craft-services owner Kinyarda Wright, catering film and television shoots, sees crews eating less and differently: more leftovers, protein-heavy and keto requests, spring water where soda used to be, and much more coffee. Costume designers James Nguyen and AC Gottlieb keep taking in and letting out as bodies change — routine work, they say, except that people now talk openly about the medications behind it.
The people managing the change describe a balance rather than a backlash. Steele says performers on the drugs feel more confident in their bodies and more energetic for it. Dietitian Ashley Koff, who works with professional athletes, says the drugs succeed as one part of a supervised regimen and worries about the details — athletes who cannot eat enough, hydration, and recovery that looks restful but is not. The author's own care has thinned in the opposite direction: from a longtime doctor and required check-ins to telehealth questionnaires and a new approver for every refill, leaving her, in her words, feeling more like a customer than a patient. That the workarounds work, the piece suggests, does not mean the costs are trivial — they are simply absorbed backstage, where audiences never see them. Her closing suspicion is cultural, not medical: now that sustained weight loss is available to everyone, already-thin stars may feel pushed to get thinner still to stand out.
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