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”. 
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