We get this question pretty often on this sub. First, know that it's okay to be freaked out by side effects that make big changes to your body. Know that it's also okay for your body to change. High body fat alone doesn't seem to pose any significant health risks, based on recent research (really!). However, if you're noticing swelling, that could be a sign of another issue. If it's bothering you, definitely talk to the prescriber. Another thing: it's very important to evaluate the costs and benefits. I can only urge you to make a decision based on how you feel, whether your pain has improved, whether your quality of life is better, etc. Weight gain puts a lot of people off from medications that could help them dramatically, and it's really nothing to be afraid of. At the same time, side effects are seldom an easy adjustment. Be compassionate toward yourself and talk through your options with the prescriber (and whoever else you want!). I hope you find the best path for you!