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The weight of a nation is now in clear view. For the first time, India has reached a stark milestone, with every fourth adult is either overweight or obese, according to UNICEF’s latest report. That figure includes nearly 40 million children and adolescents who are now classified as overweight. The rapid shift in lifestyle patterns, dietary norms, and metabolic risk factors has pushed obesity into the league of national health emergencies. In response, a new class of drugs is rewriting the narrative on what it means to seek help for weight management and challenging long-held assumptions that tell Indians to “just eat less and move more”. What this really means is that the country’s relationship with weight is no longer confined to vanity but now spans economics, public health, and biotechnology. As pharmaceutical giants pitch “medical breakthroughs” and social media turns once-inaccessible prescription drugs into aspirational status symbols, India finds itself at the crossroads of a complex and urgent health debate.