Yes, as Oprah enthused, the drugs help people shrink their bodies. But the psychological damage of weight stigma can't be so easily cured, a doctor writes.

Kate Manne tried to shrink her body for years before embracing her size as part of a "natural, normal human variation." She says the fight against fat phobia must start in the doctor's office.

A physician decided to stop talking to patients about weight, and focus on health instead. But the new weight-loss drugs forced her to rethink how to help patients without feeding into stigma.

Most doctors get little training in the science of obesity or how to counsel people with the disease. As a result, many patients experience stigma in the exam room.