[nerdjon]

All medication is choosing between the effects of what you are treating the the side effects of the medication.

For a lot of people it isn't that easy. There is a reason weight loss surgery has been a thing for a long time. I could easily see using this as a jumping off point along with making choices about what you eat and increased exercise.

There is a psychological aspect to this, you start making those changes along with something like this so you start seeing the changes you are hoping for and feeling better so you keep with it.