I think you can look at this another way. You can't point to a single clinical trial that shows the drug has any effect. If it did, it would literally be a mu

I think you can look at this another way. You can't point to a single clinical trial that shows the drug has any effect. If it did, it would literally be a multi-billion dollar windfall for Merck, a major pharma company. Why would they have not done a trial? Why would Merck hold back? Off label is absolutely a thing, but not a long-term thing. Ozempic was off label in use for weight loss, but you can be damn sure the second Novo Nordisk discovered the weight loss opportunity, they sunk a ton of money on studies to make it available with a prescription. Not everything is a conspiracy.