Look at my other threads on it. I've been subjecting the forum to my Semaglutide enthusiasm for months! Of course, hard work, diet, etc. still essential, but it's been great for me. Expensive even if you get good (likely) black market stuff.
Nelson cited a study showing people gain the weight back when they go off (maybe exactly how big pharma likes it?) but my optimistic guess is that I won't, partially because I feel it helps me tell the difference between Ghrelin, dopamine and other types of food yearn.