I’ve seen several successes and I wouldn’t believe every story you hear in these forums. The data shows it’s relatively safe with minimal serious secondary effects. That doesn’t mean nothing to manage at all. Just like statins for cholesterol.

Ozempic and variants are also considered short term. They essentially short circuit the desire for vices, but are only effective for about a year. You either relearn your habits or you’ll eventually revert. If you are in ozempic for 2 years on weight loss you’ve likely ignored your doctor.