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For some, it’s not a poor eating habits, it’s that they have other issues that prevent weight loss.
Look at Oprah, one of the wealthiest women in the world. Undoubtedly has had chefs cooking for her for decades; wasn’t able to fully manage her weight until glp-1 drugs.
I get that might not be who people see using these drugs, but the people who really need these medications are those who have issues preventing them from losing the weight.
I used it as a holdover while getting diagnosed with ADHD, and you are right; it's not exactly a pleasant experience. I didn't get the bad nausea that other people reported, but if I ate "wrong" there'd be consequences for sure. But it did help with culling the binge-eating I had long enough to get my ADHD diagnosis and onto medication for that, which has helped my executive function improve to where I was able to stop ozempic and have not reverted back to those bad habits.
Executive function disorders are a bitch for sure.