Someone who has been on it a long time has been taking it a long time and is tolerant to it so they can keep taking it. Also reiterate what others have said about the risks of obesity for cancer, heart disease and diabetes is a lot higher and so the side effects and risks of WLI are worth it compared to diseases like cancer and diabetes leading to early death.
Someone ask why a person at bmi 27 can get it but not at 25.5-26, the bmi 27 is only is they have a specific health condition like prediabetes, pcos, underactive thyroid etc which WLI work to resolve, for everyone else it does have to be at obesity which is 30 or over.
I'm now bmi 23.9, i was 32.4 and prediabetic and perimenopausal when starting, my blood sugars were very high and I had a lot of symptoms and was often ill with respiratory infections, I had 7 infections in a 6 month period and was also in hospital at some point.
With prediabetes my mental health was also poor with anxiety and brain fog, I craved carbs all the time as i wasnt producing enough insulin and i also have heart disease in my family.
This has been life saving for me, I haven't had an infection since starting it and my symptoms have gone.
I'm staying on a low dose before coming off completely as I've lost a lot of hair and it makes me very tired. I have dropped down doses as they are now too high for me. I will then go down the exercise and high protein low carb route and see how i get on without it due to the side effects. Looking back I know had to do it as i struggled to lose without it having done Joe wicks body coach solid for 6 weeks and calorie tracking and only lost 2lbs, my body was struggling and I kept getting dizzy spells and craving carbs, now I don't get that as it has corrected my insulin. At bmi 23.9 I'm not even normal due to my ethnicity it has to be below 23!
Honestly I'd recommend try what you can without it, do the diet and exercise route if you can I.e. if you don't have a health condition, as it's not easy, it's still hard work and I feel like I've been on a strict diet for almost a year and had side effects, some have a lot of GI issues like vomiting, constipation, nausea and some more serious like pancreatitis etc