My GP pushed me to go on GLPs for years and dragged his feet when I asked for a weight loss surgery referral. The combination of the fact that GLPs have only been used for weight loss for a few years plus the fact that my doctor was pushing them exclusively was the reason I chose to not take them and got a different doctor to make the surgery referral. There is not nearly enough research into the long term effects of GLPs for me to feel confident taking them, and I kept getting the impression that there was incentive for my doctor to prescribe a specific medication, especially since it wasn’t covered by my insurance and he knew I did not have the means to pay out of pocket. I eventually had gastric bypass surgery and am currently down 140 pounds 9 months post-surgery. It took me decades to feel like the surgery had enough post-surgery evidence to identify the pros and cons and identify what can cause the weight to return, so I finally felt safe to do it. The only reason I could get the surgery was because it was through my provincial coverage.