Everyone I know that are using these looks gaunt and sickly. They also complain of constant nausea and eat like a bird because eating makes them sick O_o. We’ve all seen the “glow” of people that lost weight with diet and exercise — it is not that. I’m glad they exist but worry about the side effects of long term use and medical professionals not using it as a brief intervention then steering towards lifestyle changes.
Most professionals DO steer towards lifestyle changes. They probably look gaunt and sickly because their excess skin sags and they may temporarily look older due to stretchy skin.
> Everyone I know that are using these looks gaunt and sickly.
This is a statistical fallacy where you're only identifying the extreme cases. The average obese person loses 14-20% of body weight. (Remember that the "obese" category is already defined as 20%+ above the high end of the "normal" range.) So the vast majority of people on these drugs just look normal, not skinny or gaunt.
> They also complain of constant nausea and eat like a bird because eating makes them sick
This is a high dose phenomenon. They can and should reduce their dose if it is preventing them from eating enough or being comfortable.
> I worry about ... medical professionals not using it as a brief intervention then steering towards lifestyle changes.
They absolutely do, of course.