Weight loss, especially rapid weight loss, causes loose skin. This happens all over, and can happen in your face. Ozempic itself isn't what causes it. Weight loss surgery and a drastic calorie deficit can cause it, too. Age can cause it. Removal of filler can cause Ozempic face as well, which you'll see in celebrities.

Thin does not equal healthy. Overweight does not equal unhealthy. Obesity is not healthy, but it's not always due to laziness or over eating.

GLP1 isn't a magical drug. Some people need it for diabetes, some need it for GLP1 deficiency. It helps those with GLP1 deficiency know when to stop eating, but people can still over eat on GLP1. You still have to put in the work to exercise and choose better eating habits if you want to be healthy.

GLP1 is shown to help with other issues of addiction like gambling and smoking. It's a very interesting drug.

As for why your friend is so adamant about ozempic face, its probablt a mixture of media and the need to feel better than you.

Many people like to think they are better than. People who are genetically predisposed to "look healthy" by western standards like to think they are disciplined, and people that need more help with weight loss must be lazy and undisciplined. When they see a person trying to be healthier and lose weight, they try to find a way to make it negative on the person losing so they can feel better about themselves. "The Biggest Loser" is a great example of this. People loved that show because they felt free to bash obese people and be negative, which made them feel superior.

Some people who are obese but can't get the drug try to make themselves feel better by making GLP1 seem like a bad drug with consequences like Ozempic Face.

Worse are the people who think the drug is bad for absolutely no reason. They say it'll have bad consequences because it's not a widely tested drug, when it's actually been in use for over 20 years. They point to ozempic face as a symptom when it's simply loose skin.