These medicines are wonder-drugs when used appropriately, though they are not silver bullets. My dad died at age 53 from a massive heart attack...had high BP, diabetes, overweight, etc.
At age 38 I was quickly headed in that direction and I saw my death sentence 15-20 years away -- pre-diabetic, 40-50 pounds overweight, no muscle mass to speak of, high BP ,with 2 kids under 10 years old.
I took a chance on compounded Tirzepatide with a telehealth company and my life changed. I lost 50 pounds in 4 months down to the appropriate weight for my 5'8 frame. Bloodwork improved to levels I've never had even in my 20s...stopped taking my BP med, lowered Triglycerides to less than 50% of what they were, raised HDL, lowered LDL, etc. **It was because I started exercising literally every day** I totally agree that you can't just take the drug and expect miracles...but if you put in the work alongside the drug, (seeming) miracles are possible.
After getting down to my ideal weight, I started lifting weights 5 days a week and have a fairly impressive physique. At age 40 I am in by far the best shape of my life and I am looking forward to 30+ more years in healthspan. These GLP1s are a tool. Use them wisely.