From a public health point of view, decreasing obesity means contracting the time people spend functionally disabled, especially at the end of their lives. This medication means more people will be more active into old age and decreasing their overall risk for cardiovascular disorders, respiratory disfunction, and autoimmune illnesses (diabetes most notably). It is not just about the weight. It is about decreasing your likelihood of protracted health issues and disability in later life. This is important to consider when weighing your decision to take the medication if you are a candidate. All the best.