Its not a gotcha at all
The hypocrisy of slagging off peoples decision to go on these medications, whether by prescripton or private prescription for being obese and acting all faux concerned is what the issue is
Diabetes type 2 are often overweight or are more likely to have been at diagnosis, same as my OH, went up to 16 stone at one point apparently
But has been on medication for around 30 years now for diabetes, including (and still is) metformin, now on the semaglutide drugs, had another before that, has been on them for decades
The side effects are the same for him as for someone without diabetes, he personally gets terrible digestion issues, I also have to suffer this!
I had the jabs for a short amount of time but didnt like the needle aspect, so didnt use them for more than a few months. I had no side effects
If the side effects outweigh the benefits then no one is going to stay on them realistically, but morbid obesity is a huge risk to health, its a death sentence, the same way untreated diabetes can be.
And for those wondering, well he gets monitored twice a year, thats all, sees how the bloods are going, thats it. No one is botherered or asking about his dodgy stomach, becuase its just something that needs to be tolerated for him.
But above all else, no one is mithering and wringing their hands about how concerned they are for him, what about the side effects blah blah blah.
But if you're fat, suddenly they're really dangerous drugs.