I’m going to (cautiously) wade in here…
I think part of the attraction of weight-loss wonder drugs is the promise of quick results without a lot of effort at the start. If you have a lot of weight to lose, and average around a pound a week loss or less, it takes a long time to see the results, and that can be discouraging. So people give up because they can’t get the satisfaction of obvious weight loss. But over a couple of years, a pound a week adds up to six stone or more. So for at least some people, it’s the quick fix that medication offers: I don’t have to think through my food/exercise/lifestyle choices in the long term, just use a drug that puts me off food, weight falls off, and the other things will fix themselves.
But it IS possible to lose a lot of weight without. It’s very, very slow, takes patience and self-discipline and involves periods when you are hungry and thinking about food all the time. It takes a lot of will-power to say no to that hunger.
Medication is not the only, or necessarily the best, way to approach weight loss. We all make choices about how to do it. I don’t like using medication (for any condition) until I have tried non-chemical routes. If I have a headache, I drink water, get some fresh air or have a nap to see if that works before I take paracetamol. Sometimes, I still need to take the pills. When I wanted to lose weight, I adjusted my diet, exercise and lifestyle, and it worked. If it hadn’t, maybe I might have considered Wegovy - but it did work, just very slowly.