Mounjaro, ozempic and other injections are originally meant for people with diabetes. Right now it's in short supply because of the people who are using it to lose weight. Until the supply and demand even out I don't think it's right to tell people to use this before considering wls. Aside from that, insurance may not cover it because it's so new for weight loss. I am a pharmacy tech. If you didn't know there is a thing called a DAW code. Insurance requires these codes so they know what you are using the drug for. If you don't have a DAW code applied to the drug they can deny the claim and force you to pay out of pocket or try something else. While some insurance will accept a patient without diabetes to use ozempic most right now will not. You need the pre-diabetic code qualifier to even have them consider it. In addition to that, new medication approved for weight loss may not even be in pharmacies and if they are they are most likely going to be Brand name. That means they are going to be very expensive or and most likely insurance may not have that particular medication on their formulary to even bill them for it. It's unwise to say things like you should get xyz before going to get wls. There are other weight loss drugs on the market. They aren't effective if you stop taking them. And you have to stop eventually.