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Drawing on 73 interviews (with people who take GLP-1s, people who prescribe them- people who have heard about them, and health access/fat rights advocates); ethnographic observation of a dozen events featuring and discussing GLP-1s; and analyses of GLP-1 related hearings, laws, and newspaper articles, this paper uses public debates about GLP-1s to trace the incipient emergence of biopolitical citizenship in articulations for expanded access to the drugs. This citizenship is predicated on shifts in the underlying moral understandings of responsibility: of individuals for their body weight, of physicians for their patients, and of politicians for the health of the public.