I think this speaks to a really profound misunderstanding of obesity, weight gain and diets and an embedded belief that fat people are lazy and greedy and just can't be bothered.
One of the clearest predictors of a person becoming overweight is them going on a diet. Almost everyone who diets regains the weight. Almost everyone. Once you are in a cycle of yo-yo dieting, your brain and your body begin to resist and it becomes harder and harder to lose anything at all. You have to cut your calories to unsustainable amounts and it's impossible to keep going.
I didn't get fat through greed and laziness. I went on my first diet when I was nine year old because I thought that's what girls and women had to do. I spent thirty years spending time, effort and money on dieting. I tried so hard for so so long. I paid for gym memberships and personal training, I ran until I needed surgery to correct the damage I did to my body. I tried really, really hard my whole life and I still kept failing. The intense restriction would give way to binges that got worse and worse because my body couldn't take it anymore. I kept gaining weight, losing it and gaining more and over the years that eventually took me to obesity - the worst of it triggered by a dangerous spell on a VLCD of 600 calories a day to 'lose the baby weight' which messed me up quite seriously and caused a terrible rebound when I came crashing out of it.
Mounjaro works on your hormones. It's not just appetite suppression, it changes the balance inside your body that dictates hunger and satiety and gives you a kind of peace around food that I hadn't known since being a little girl. It has enabled me to keep up with exercise and to give myself nourishing food that isn't used as am instrument of punishment or reward anymore. It's a break from the torture of striving my whole life to be thinner and only ever ending up fatter. Which I now understand is the normal cycle of dieting.
To the OP, I've lost just over two stone in three months and am exercising to build strength and muscle mass. MJ has changed my tastes, made me much less interested in carbs, I never drank a lot of alcohol but now I don't ever want a drink at all, I've been losing a steady 2lbs a week with some stalls and plateaus like any weight loss journey. It really works in a way that nothing else ever has! I do suspect that I would need to keep taking it for a very long time if not forever so that it doesn't go the same way as all my previous attempts, but that's something to work out in the future. I can only take it a day at a time right now.
Oh, it's also enabling me to access therapy- which of course I've also tried many times before. It's never helped me in the past to conquer the food issues, but now I have a calmer brain around food, I am able to engage better with it. People often insist that you have to fix the underlying emotional causes of weight gain, but that's hard to do while in the thick of it. MJ has helped me to take a step back from the battle and start to work through what got me there.