Even more cynical are those who are well off and not obese and/or don't have health risks due to weight and are taking this class of drugs to stay slim, for vanity. Also, I hear these drugs are very expensive with initial subsidies available to patients in need that won't last more than a few years let alone a lifetime. After researching and reading about behind-the-scenes actions of the pharmaceutical industry and drug approvals, my suspicions automatically ramp up nowadays with any newly approved drug. Especially when the pharmaceuticals are not required to share the adverse event data from their RCTs.