I've worked for a pharmacy benefit management company for 20+ years, I've seen fads come and go, and I've seen everyone "jump on the bandwagon" for an off-label use or sometimes even an approved use for a medication only to have more information start coming in that's negative which forces medication change. I think prescribing a medication to someone in the hopes the known side effect will work for them is a very odd thing to do. In the end, weight is largely about your relationship with food and I don't think any medication is going to change that long term. I'm currently taking Rybelsus as I've had two bad blood work labs in a row. I get asked if that's reason I lost 50 pounds -- no, it's not. I had already lost 40 pounds before starting the medication. In fact, I've been on the medication for 6 months, my labs have improved, but I've been gaining and losing the same 10 pounds for six months even with the medication.