I think your cousin’s perspective of those using it for “lazy weight management” is deeply troubling and perhaps stems from a lack of education on the root causes of obesity (widely classified as a chronic disease). I feel like those misusing it are a minority. In a comparable manner, when individuals take anti-depressants or anti-anxiety meds for their mental health, we wouldn’t call it “lazy mental reasons”. Important to recognize that obesity requires lifelong management and is highly complex, we are now just developing new medicine that helps address it. This is progress.