That’s not a what I’m saying at all. I haven’t said anything about abuse and tbh I don’t know whether it is possible to obtain these drugs illegally. My point is that the drug as developed is effective for medical use, and (I think, could be wrong) that the drive to reinvent and tweak etc is driven at least in part to enable them to be marketed to more and more people using them for less than life saving reasons. It has become an industry all of its own.
It’s complicated because many diabetic people are obese, and obesity obviously contributes to diabetes and many other diseases. Is obesity a disease on its own? I personally don’t think it’s a moral issue- obesity and weight loss drugs are no more about morals than depression and anti-depressants. They might both be cases of ‘if you’ve only got a hammer then every problem is a nail’. No doubt some people’s lives are massively improved by pharmaceuticals for both depression and obesity. But it’s not a coincidence that both are diseases more prevalent in areas of material deprivation. I tend to think they are both examples of how we’ve created a society that us dangerous to our health.
But all that’s irrelevant really, I’m just saying I don’t read the OP as goady or judgemental, nor am I judging anyone’s reason for using them. AFAIK most people are using for obesity, and about a third for diabetes, both of which have a clinical threshold (and obviously there’s a crossover).