A friend of mine who works in primary care has a policy of not prescribing semaglutide unless a patient has tried at least three months of diet/exercise first. She now has a long list of patients who decide to screw that and self-refer to a specialist who'd write them the script. I don't work in primary care myself, but this more or less matches my own experience - 95% of people do not want to put in the effort of changing diet, exercise, and other lifestyle habits. They want a quick fix.
The data however shows that diet and exercise fails for most people though. I don't see it as entirely irrational to go strait to the more effective drugs.
The data however shows that diet and exercise fails for most people though. I don't see it as entirely irrational to go strait to the more effective drugs.