For me, historically drugs like this for ADHD or depression or gastric bypass or whatever tend to lose effectiveness over time as the body adjusts. Not for everyone but for enough where you've got a short term gain that ultimately compounds the original problem.

Medication can be a slippery slope into side effects and rotating dosages/medicines. Especially for behavioral medicines.

Yeah, money, and just signing up to regularly inject a thing forever.

Anything that’s “starting tomorrow and until the day you die” just seems like a thing I shouldn’t take lightly.

Also I’m not badly, badly overweight. So it’s not like “it’s this or cardiac arrest in a year or two”, for me. I should probably be dealing with my issues the old timey way.

The stakes look very different for other people, obviously.