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”. 
Honestly, not always. In over a year on it I’ve never really had to focus on my diet and I’ve lost 100 pounds. I just feel “normal”.