[hn_throwaway_99]

The false dichotomy is to believe that these new drugs are the more extreme interventions.

Many people who go on semaglutide were on the road to bariatric surgery before these drugs were widely available. Bariatric surgery is a major surgery, with not insignificant rates of complications. I guarantee nearly everyone who gets this surgery considers it a last resort. Yet now, most physicians believe these new drugs will essentially put bariatric surgeons out of business.

I'd be all for any options with fewer side effects, but handwavy "endocrine health" doesn't cut it, again for the society at large.