> People take depression meds, blood pressure meds, all kinds of meds for their whole life.

And a lot of these medications have side effects that can affect quality of life negatively in other ways. That doesn't mean they're not helpful, or shouldn't be taken. But the "no free lunch" rule usually applies, sometimes to a noticeable degree.

And? It’s not like those of us on lifetime-prescriptions have any real choice in the matter.

Oh, there’s consequences? One of those is an almost universal weight gain measured in the dozens of kilos? You want help with that?

Sorry, it’s against Calvinist/puritan morality to help you with that by providing a medicine to counteract that. You need to do it the hard way (regardless of the statistics that show you will just be obese now until you die thanks to the meds which, I maintain, that you must take).