Dieting is effective if you can stick to it. I watch my calorie intake and have no problems staying at a healthy weight. Even considering that I go out drinking practically every weekend. I also have the advantage that I don’t really think about food until I’m starving and even then it’s not an issue for me to put off for a few more hours.

That is not the case for many people. There are so many things working against us when it comes to eating healthy. Fast food is all designed to be as addictive as possible. Meal planning and preparation takes a lot more time and healthy food is expensive (although at this point all food is expensive so maybe that one is a wash). People’s lives are stressful as fuck and they have so much to deal that uses up their mental energy. That additional stress from trying to maintain a diet is just too much. Food brings them joy so they overeat. These drugs help to curb their appetite without the additional stress. I see no problem there even if they shouldn’t technically need the help in a perfect world. The world’s far from perfect and we don’t know what people are dealing with.