Once you are obese - any type of dieting/eat less move more/programme etc only has a 5% chance of long term success. That's ridiculous odds yet people who can't do it are labelled failures and morally lacking will power etc when it turns out it's likely insulin regularion etc.
I take an inhaler so I can breathe like everyone else. That is not cheating breathing.
I wear glasses so I can see like everyone else. That is not cheating.
I take glp1s so I can regulate food like most people. I don't see that as cheating personally.
I agree we need to look at society (especially UPFs) but that applies to many things - ie would so many people be on antidepressants if we had better work/life balance, less poverty etc... Doesn't mean we shouldn't prescribe a cure.
Glp-1s have been truly lifechanging for me (and ADHD meds - can't remember the posters name that pooh poohed them both). Truly lifechanging. I wish I could rewind the last 20 years as my life would have been different in so many ways. But I'm glad it will be going forwards.
As someone morbidly obese I was already at a lot of risk so weighing up risks it's makes sense to take glp-1s - probably long term. And yes ideally the body wouldn't have got there but it has (and I could list a lot of things that would have helped when I asked for support over the last 20 years).
Taking these and listening to people like Chris V T and having counselling and I've realised how much blame and shame I've lived with over the years and the cycle of failure I've felt when truly it isn't my fault. I'd I broke my leg I wouldnt feel a failure that I couldn't walk, or if my glasses broke I wouldn't feel a moral failure for not being able to see - I'd get them fixed!
I am a compeltely different person, physically, but also through being able to walk again this has impacted my family and their wellbeing, through stopping the blame cycle I've been mentally so much happier. Through being on glp-1s I've been able to put the diet in I've been trying for at least 13 years and I can now follow advice that others could follow but my body wouldn't let me. (I can choose to stop when full, I feel a fullness signal that I didn't before, I can choose what to eat and I can plan meals now. Of course I could overeat but I now have the option not to.)
I really do hope that the narrative changes around this over time.
One thing I do worry about having been on a fb group for my provider is those seeing it as a quick fix. Often those with only a little weight to lose think theyll take it and be sorted. I think this can play into disordered eating alongside those that want full suppression and to just not eat. I do think there's not enough support around this (those who are very obese have often read everything and know how they'd like to eat long term/hat fast weight loss isn't a good idea) and is the main reason I think this should be within the NHS.