I would like to try it, but I don’t think it is available from shady internet doctors and insurance won’t cover it because I’m not diabetic. Shady internet ozempic passes the cost-benefit test (barely, considering I can successfully lose weight without it it’s just hard). Full cost out of pocket it does not. Maybe in a few years.

I would worry that the side effects I care about are not the side effects that others report being improved on zepbound.

Protip: Get an ultrasound on your liver. Almost every obese person has (what used to be called) fatty liver, and that's usually enough to justify the prescription to your insurance company.