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All drugs have side-effects, so what?
You are focusing on the weight loss issue, which is a miracle in itself. So what if they still make unhealthy choices? They are still losing massive amounts of weight, which is us already a HUGE improvement. You can't let perfection be the enemy. So it doesn't solve 100% of the problem, solving 75% is still a worthy improvement.
Then there are all the other things it does. It reduces cravings in addicts of drugs, alcohol, and tobacco, making it much easier to quit. So an unhealthy person with addictions and diabetes can take this drug, get their diabetes under control, lose a ton of weight, and quit smoking and drinking and whatever else, and we're supposed to avoid this drug because there might be some side effects? As long as the side-effects aren't dying 20 years sooner, they're better off with the drug.
It also seems to help with dementia, and other drugs.
You know, all those things like weight loss and addiction control are side-effects, right? They are an unintended consequence of taking the drug, which is what a side-effects is. Sometimes side-effects are bad, sometimes they're good.
All drugs have side-effects, sure, and key to note 1) some drugs have more; some have less. 2) some have extensive longterm research. Others do not. While ozempic-like drugs have been around for 20 years, for the vast majority of that time they were centered on treatment of diabetes, which as you said they realized it had beneficial side-effects alongside the bad like weight-loss. This is simply why I say to caution anything as being a "miracle drug," unless you wish to define that yourself — because that at least to me implies no side-effects and implies a comprehensive resolution of the problem as opposed to a masking of the root causes, while also having been thoroughly studie. At least with say antibiotics, sure, there are some serious side-effects; but they get to the heart of the issue and eliminate the bacteria. Moreover it's a solution to a problem we cannot yet resolve in any other way. In the vast majority of cases where ozempic is being prescribed, weight-loss, that is not the case.
I'd rather not repeat myself too much but it is again like smoking. Tobacco and pharmaceuticals would hail cigarettes as "miracle drugs" because the long-term research had yet to bear out what many had long feared: that the weight loss comes with a hefty a price. Well, in kind, I am concerned there is a hefty price and anything too good to be true usually is — especially when it comes to pharmaceutical marketing.
Again, I just want to again reiterate: Literally everything Ozempic does positively, from dementia to cravings to weight-loss, can be achieved by eating a healthy diet. Period. Full stop. This isn't like antibiotics where you can just take vitamin C and eliminate C-diff. Unless you have problems creating GLP-1, all the benefits of Ozempic — KEY POINT: AND MORE because you're actually avoiding anti-nutrients and taking in a diverse array of nutrients — can be achieved by simply eating what scientists have already concluded as being the healthiest diet: A Mediterranean plant-based diet. (and that doesn't even mean excluding all meats).
And no, I'm not saying it should be taken off the market; only that I'm practicing skepticism and not calling it a miracle drug because it masks a poor habit; it doesn't fix it. If Ozempic caused someone to stop eating all poor food and start eating their leafy greens and stop chugging starbucks coffees and adopt the scientist-recommended Mediterranean diet, then sure, I might be more likely to call it that. It does not.