For an obese person, needing to lose weight is a health issue. The weight loss these drugs facilitate leads to lower incidences of many and serious health problems. It’s the losing of the weight that makes rates of (say) heart disease drop. The drug itself doesn’t magically cure heart disease (as @mozempic was suggesting by linking that Guardian article above - classic case of seeing what you want to see rather than what’s written 🙄). I haven’t seen or read anything to suggest that the risks of these drugs outweigh the benefits for patients such as these. Bluntly, so high was their risk of death from heart disease or whatever that the known and unknown side effects of these drugs are worth it if they can get their weight down. What happens once a healthy weight is achieved I don’t know - and I don’t think anyone knows, definitively.
For a somewhat overweight person or even, god forbid, someone at a healthy weight but just not skinny enough for their liking, these drugs are a cosmetic issue rather than a health issue. This is about vanity for 99% of people (body dysmorphia is real, but exceedingly rarely diagnosed because of the conditions that have to be met).
Trouble is it’s the same drug, whatever the issue. It’s like Botox for migraines versus frown lines.
A miracle weight loss solution is second only to age-reversing drugs as the pharmaceutical holy grail. If capable adults haven’t learned by now that drugs companies are interested in only one thing - profit - well, there’s no accounting for stupid. And actually no, I won’t care. If you’re stupid enough to take drugs (not “medication” as some people euphemistically call them) for cosmetic reasons without medical supervision, that’s on you. Get the Botox, get the fillers, take the online wegovy, have the face lift, whatever. Your body, your choice. My choice to consider you a gullible and weak fool.