I think there's a distinct difference between taking medicine for things you can fix on your own (diet + exercise) vs things you cannot (excess acid production).
I'm not on GLP-1s, but I've been looking at very seriously because something I can't "fix on my own" is just... always feeling hungry. That's just how my body works. Exercise doesn't help; there's no reasonable amount of exercise that will help with my office-worker stomach wanting 3000 calories a day. So far through my life I've just lived with it and managed my diet as best I can and it just absolutely sucks.
Why? They both get you to the same place, and one is vastly more likely to work. I don't get the weird moralizing around this.
> things you can fix on your own (diet + exercise)
We have decades of research showing this is more in the "excess acid production" realm of things.