I'm on Mounjaro and was on Ozempic before that - the supply issues for both have been a serious impact on my health. The thing about these meds is, if you miss weekly dose (by more than about 3-4 days), you are essentially going back to the beginning, and your blood sugar will be unstable for 3-4 weeks as you adapt again to the medication. You only see the real benefits from it after being on it continuously for more than a month, but so far, I've not been able to get a consistent supply for more than a month at a time since.. summer I'd guess.
Its been really frustrating for me, and has caused me negative health effects.
So while I get, yes, you should lose weight - and this drug does that (and has a whole bunch of other positive health effects), the idea of this going to someone who might only be 30-40 lbs overweight who does not have T2D, infuriates me.
Without it, even on insulin, even fasting, my liver pumps out glucose constantly, I can fast for close to 24 hours before my blood sugar falls off enough to start to be low.