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Ozempic seems to have a large number of positive effects for virtually everyone. It's a little premature to think everyone will be on it "soon" and there are plenty of people who won't take something even if it's universally beneficial.
Not that many. Probably less than or similar to metformin. For the silly cost, it's not very effective at extending life.

And there are potential bad side effects too.

Yeah why would I take a pill if I can get the same effect through discipline and hard work? I understand not everyone can do that but if I can it would be absurd for me to take a drug for the rest of my life. Especially when I enjoy the work involved in changing my weight and body composition.

If a doctor tried to push that on me I would fire that doctor.

Because you already take many modern shortcuts and conveniences to avoid hard work, why not take this one?
Taking a medication with potentially severe side effects (including perhaps some that we haven't found yet) is hardly equivalent to using a machine to wash my clothes.
Iunno, I don’t think the side effects of a washing machine have been studied at all.

We’re really flying in the dark there.