My wife has prescribed this extensively but always advises against it. Every tubby woman in the world asks for it. So a couple things…
It is given at about double the diabetic dose for weight loss. Only one has been approved for this, I believe Wegovy. No insurance will cover it, and runs about $700 for a six week supply.
The weight loss is not dramatic, but occurs. Nothing that will make you say “oh shit what a difference”. Most will lose about 12 to 20 lbs, and usually the heavier losses in people with a bmi over 30.
Most of the unbiased studies show loss of weight is not just adipose tissue, but usually a mix of fat, connective (tendon), muscle, and bone. That is correct, bone.
Jury still way out on this one, anyone doing it is basically a test rat.