I think it's very American to look at the FDA that's approved something or not and decide that is the end-all be-all of it. And also to view so many physicians as infallible gods no matter what they say or do.
I watched my wife struggle with a few medical conditions for DECADES, all the while being ignored by her doctors as "just another fatass" -- and look, she started Tirz and lost 110 pounds with almost no change to her diet. Qualifying with almost because she tightened up her calories a little bit since starting, but we're talking 100-200 a day, not 1,000+ / I was diagnosed with not having sleep apnea because my doctor cocked his head to the side and looked at me for 3 seconds. Guess who has severe sleep apnea that was diagnosed when I had insurance that didn't require a referral to sleep medicine?
People are turning to peptides because they work, and they are affordable. They are breaking the stranglehold modern medicine has over many of us -- not really getting us well, but well enough to not complain.