You have some evidence for this claim?
> is evidence that obesity is on some level driven by powerful hormonal forces
It's suggestive. It's nowhere near evidence.
> the freedom to make better decisions
As long as they're on the drug.
> The cosmetic narrative you're pushing is actually quite disgusting.
No it isn't. It's a valid concern about how this medication is _marketed_ and _dispensed_. It's also an obvious concern to have. Pretending that I'm disgusting because I'm actually worried about the future outcomes for these patients is bullying highroad nonsense. Come off of it.