I'll address the "etc." part of the title of this thread. My wife and I both exercise 6 times a week doing High Intensity Interval Training weight and cardio workouts. We eat a pretty clean diet, high in protein and try to stay away from simple carbs and processed food. Both of us have been struggling with weight gain for 25 years. Even with diet and exercise, we couldn't get back down to a healthy weight/body fat %. My cardiologist has said I'm "very fit overweight guy."
We started Zepbound last month, the weight loss version of the diabetes drug Mounjaro. Of the current obesity drugs, it is the most effective by a slight margin. My results have been pretty amazing. My wife as well. At $550 a month for each of us it is taking a slight financial toll on us but honestly I can't think of a better thing to spend money on. While it has a definite physical effect on improving weight loss, the fact that it convinces your brain that you are full on much smaller portions of food and quiets the "food noise" cravings is what makes this so incredible.
Problem is that you can't find this or the other obesity drugs anywhere. My last dose from my previous prescription was friday and I can't source my next 7.5 dose from any pharmacy. I've had CVS, Walmart, HEB search out to 450 miles away and nothing. Eli Lilly, the manufacturer, is pumping out the starter dose of 2.5 and it's available, but none of the doses you titrate up to can be found. I guess they want to maximize profits by getting you started and force you to stay at lower available dose so it slows down your weight loss from and keeps the $550 a month coming in for a longer period of time. But, the stuff does work. If you can find it.