I have several friends who are on one or more variations of this drug and have been losing weight successfully. Like TFA mentions, they've reported reduction i

I have several friends who are on one or more variations of this drug and have been losing weight successfully. Like TFA mentions, they've reported reduction in "impulsivity" -- eg less need for alcohol, less desire for gambling and, in one case, less desire for hookups/one-night-stands/sex. My first fear is that these psychological side effects are going to be more impactful in the long term than any physical side effects. My other and more immediate fear is that we don't know the full ramifications of what "reduced impulsivity" actually means. Does that mean you're going to seek out dopamine less? Does that mean you won't enjoy your hobbies as much? Does that mean you're going to be slightly less motivated to work on that satisfying side project or startup? Does that mean you'll be slightly less desirous to fix tha one extra bug which otherwise might be so very satisfying and will drive your project forward?