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Alexandra’s Substack · Apr 30, 2026

Cigarettes, Caffeine, and Ozempic Chic

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Move over heroin chic. This time, we’re calling it optimization.

I was nineteen when I interned in Santiago de Veraguas, Panama, for a charity called Nutre Hogar. We were part of a refeeding mission for 30 children classified as malnourished. The little ones looked six months old when they were actually a year and a half. They didn’t walk, talk, or reach for food the way other kids their age should.

It’s devastating t…

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