Abstract : This study aimed to investigate the self-perception of body image, weight perception, body satisfaction, and the use of weight loss medications among college students in Jeddah. A cross-sectional survey design was employed, with a sample of 342 college students aged 18-25. Data were collected using a self-administered online questionnaire, which assessed demographics, height, weight, self-perception of body image, weight perception, body satisfaction, and the use of weight loss medications. The results revealed that 36% of respondents were dissatisfied with their body image, with a higher prevalence of dissatisfaction among those with higher body mass indices. Self-perception of body image did not always align with actual BMI classification, indicating a gap between weight perception and actual weight status. While the majority of participants did not consider or use weight loss medications, 34% either used them or considered their use. These interventions should address the multifaceted factors contributing to body dissatisfaction, debunk misconceptions surrounding weight loss medications, and create a supportive campus culture that encourages body positivity and discourages weight-based discrimination. Future research should explore the effectiveness of various intervention strategies, examine the role of cultural and demographic factors, and investigate the impact of personality traits, peer influences, and family environment on body image perceptions and weight management

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