I think that people are thinking about GLP-1 family medications the wrong way.
They are metabolic reset medications which have a common side effect of weight loss, because whilst on the medication the patient experiences satiety, hunger, cravings, dopamine response differently (actually: normally) due to better management of metabolic disorders.
Diabetes and pre-diabetes, PCOS, sleep apnea, insulin response, hypothyroidism, chronic obesity (which can be caused by multiple factors including post natal/pre-menopausal/peri/menopausal hormone levels, well as trauma, genetics, family history, living in an obsesogenic environment are all conditions that respond well to GLP-1 family meds.
There are also encouraging signs that these drugs help with other dopamine/reward seeking behaviours such as excessive alcohol use, vaping, gambling, doom scrolling, online shopping etc.
Much is written about side effects but many users have minimal/easily manageable side effects and say these meds are “life changing”.
Many people who are on them have struggled for years - decades - trying to manage their weight. I have read stories of people who tracked every bite, tried fasting, keto, weight watchers, slimming world, extreme exercise, gastric surgery, have lost weight over and over and then out it back on. They describe getting hundreds of messages from their body daily telling them to eat, headaches, nausea, shaking, waking up at night, insomnia, mental health problems compounded by the endless 24/7 war with their bodies signals. Meanwhile their partners or friends eat more, move less, and do not put on weight nor are they tormented by hunger.
We are at the very beginning of understanding what these meds can do (and they have been around for over fifteen years).
I hope that people will be soon be able to access them safely and easily to manage pre-obesity and exhausting “food noise” and hunger, as well as for pre-diabetes, PCOS, addiction and other health problems.
And I hope the judgement about them fades, just as it has for people using nicotine patches or statins or any other medical intervention that they need, because nobody should have to live on the hamster wheel of relentlessly fighting with their body, I mean, what a sad wash to live when they desperately want to just get on and live a healthy life.