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But they have, right? Wegovy works really well. Ozempic is off label for weight loss only in the sense that it is the semaglutide drug that is marketed for diabetes and that it therefore isn't sold at the same high dose as Wegovy.

We did. Its called Wegovy.

Many drugs are prescribed in ways that take advantages of their side effects. Indeed, many drugs are designed for one purpose but perform a second purpose much better.

It’s clear that these drugs cause weight loss (in everyone) so I’m not sure what further certification and testing might show