This might make me the veteran of the group here, I don't know about the wiser. I was getting near 600lbs, when I had a VSG about 17 years ago and when it was becoming all the rage in the Bariatric world. Took 1.5 years to get my rear in gear and some tough love, but I managed to get down to just over 500lbs preop weight. The surgery got me down to 250lbs within 9 months, there I stayed for the next many moons. Managed to get my Gallbladder out, but felt pretty good overall in that time. Weight started creeping back on and was almost at 400, needed a knee replacement and dropped 90lbs in 5 months to get that done. Gained some weight back again!
Enter our hero GLP-1! Damn this stuff is Frosty, it's like they made it just for me. I went the compounded route for over a year and a 1/2 and eventually worked my weigh-2-gray. Now down below 200lbs at a good BMI and finally feel like I have the best of 2 worlds to help keep me here. It's the after party, where getting this big, getting old, takes it's toll on the body and that cost is in excess of $100k easily out of pocket.
Most of the population won't take an injection, I'm glad to see the pillz get here and hopefully that space will just get better as well in the next few years.