Idk some see it as using it in excess due to body image issues in Hollywood but a lot it seems like its always a thinly veiled shot at the body positive movement whenever I see this mentioned. The South park episode I’m sure helped fuel this. Hell of a lot of moralizing over ozempic in general and people not losing weight the “right way”. 
It’s not just an appetite suppressant, it also changes the way insulin is released and processed and slows digestion.
Thats why it’s really helpful for people with PCOS, it makes their body actually use the food you eat, instead of storing fat no matter what even when you’re only eating 1000 calories a day.
Also incredibly helpful for pre-diabetics and people with type 2. Compounded semaglutide is usually an option from providers, and it is typically way cheaper (to the consumer) than the branded stuff (Ozempic, Wegovy, etc.) while being equally as effective. It doesn’t come in fancy plastic auto-injectors with a 10,000% markup, though, so pharma ghouls don’t tend to push it as hard.