She argues for restoring trust in the body positivity movement and taking personal responsibility to contribute to a more honest conversation without vilifying weight loss, weight gain, or medication.

Lizzo describes a severe depressive period in fall 2023 that preceded weight change, noting she used Pilates and therapy to work through pain and realized weight had been a protective shield.

Her weight-loss journey began in fall 2023 amid deep depression, involving suicidal thoughts and a shift from binge eating to healthier coping strategies.

She explains starting to lose weight in fall 2023, using Pilates and therapy to process pain, and recognizing weight as a protective shield she wanted to release.

She notes a significant weight loss of about 16 percent of body fat, now weighing over 200 pounds, while still identifying as a proud big girl.

A striking line states, 'All of our big girls are not-so-big anymore,' underscoring the narrowing of opportunities for plus-size individuals.

She rejects the idea that weight changes constitute betrayal or anti-feminism, arguing women should be free to change their bodies without judgment.

Lizzo emphasizes that weight change does not equate to abandoning feminism or a community and rejects the notion that larger bodies are inherently virtuous or loyal to a movement.

Her coping methods during the difficult period included healthier practices like exercise (Pilates) and talk therapy rather than relying on food delivery or other distractions.

The piece includes a mental health reminder with 988 and Lifeline resources for those in distress.

The essay argues that the body positivity movement has been co-opted by thin, white, straight-sized influencers, leading to the erasure of extended sizes and plus-size models from fashion and media.

It contends that plus-size models and extended sizes are being erased from websites and campaigns due to influencer dynamics within the movement.

She references her own recent physical transformation and acknowledges fans who viewed her prior stance as performative.

Lizzo publishes a 3,000-word Substack essay calling for a nuanced, non-binary dialogue about weight, health, and the Ozempic era, emphasizing the need to address why plus-size voices are often erased from fashion and body positivity.

Lizzo calls for a reset toward honest, nuanced discussions about weight and health and urges the movement to undo the effects of the Ozempic boom.

Support resources for eating disorders and body image concerns are highlighted, including hotlines and contacts for Butterfly and Eating Disorders Victoria.

The essay recalls that her talent was previously overshadowed by focus on her weight and appearance, highlighting societal pressures on body image and identity.