I mean the question is rather what's the alternative. Diabetes - even well managed - already shortens your expected lifespan considerably by more than ten years

I mean the question is rather what's the alternative. Diabetes - even well managed - already shortens your expected lifespan considerably by more than ten years. So the safety profile has a different baseline risk. If you're morbidly obese, and don't yet have diabetes, it's still so likely that you will develop it, and a host of other issues, that it's probably still better to lose weight with ozempic. Morbidly obese people also have an extremely shortened lifespan. If you're only a little overweight and you're trying to get a lean physique. That's where you should really think if taking a risk is worth it.