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”. 
The stuff is ludicrously easy and cheap to mass produce, but afaik the company is bottlenecking itself by only selling the product in their specialty injector pens.
Meanwhile less scrupulous individuals (ie it’s discussed a lot in bodybuilder communities) can buy years worth of it for pennies on the dollar from Chinese medical labs who are the same ones producing it for places like med spas that also are charging hundreds of dollars for it.
Meanwhile diabetics as well as people with other prescriptions for these drugs (ie obstructive sleep apnea, pcos, insulin resistance) get to deal with the jacked up brand prices and their ✨️insurance providers✨️ denying coverage because of said price gouging
it’s like an infinite fractal of satans sitting within satans
For what its worth I have nothing against bodybuilders sourcing their gray market peptides and the facebook wine moms coming to their forums to find the best overseas sources probably know what they’re in for wrt the risks.
Since universal healthcare is apparently impossible in the US, the next best case scenario for these drugs is that they get generics and are cheap and abundant and most importantly medical providers are educated about them enough to provide proper guidance to patients wanting to be on them.
If you have family history of thyroid issues, assess your risk profile. If changes in blood sugar have impacted your eyesight in the past, assess your risk profile. If you have/had gastro complications in the past, assess your risk profile.
If you take oral medications, you need to monitor your reactions because the meds can slow your body’s absorption of them. This includes birth control
Set a minimum amount of caloric intake to reach, set protein goals as well as resistance training especially if over 50 because muscle loss via weight loss can be a big problem
and for the love of god, if you haven’t shit in a week, SEEK MEDICAL CARE IMMEDIATELY