Mounjaro is the more effective option of the 3 anyway so if that’s your goal and it’s covered, go with it. Double agonist means it targets two hormone pathways. I was on mounjaro for 6-8 months and no regrets. I was offered the 3 alternatives, and was explained the efficacy of mounjaro so went with that one. No reported downsides other than sulphur burps but I think that’s universal.