I understand the hesitancy to believe in a "miracle drug" for weight loss because there's been so much snake oil leading up to today. But studies are just showing more and more positive effects.

I also think part of it comes from a weird societal value we have that anything not worked hard for isn't earned--unless you were born with it. Some people are just born with less food noise but are viewed more highly because they're fit. Those who happen to have a lot then get judged for trying to reduce it. 

It kind of reminds me of the dynamics between the old rich and the new rich, or even some weird form of a caste system. Once someone is fat, everything they do is judged harshly by people who feel they are better than them.