This article boils down to “be careful, you might get a tummy ache” and ignores the fact that glp1 is saving millions of lives from heart disease, stroke, and other obesity-related issues.

Did you read the article? It is warning about over-prescribing to people who are not at risk of heart disease, stroke, and other obesity-related issues.

I think it’s well understood that people who produce glp1 correctly can still be obese and need weight loss and these drugs help with that. That’s the whole point of the drug. To provide more glp1 than is needed to lose weight easily.

these drugs help with that

or they cause gastrointestinal conditions in these people, resulting in the weight loss (and malnutrition) that is a symptom of the new condition rather than the drug itself.

The entire point of glp1 is to prescribe when dieting isn’t effective.

Dieting is literally effective 100% of the time, thanks to Newton and his second law and all that.

Sticking to it is another thing entirely - but let’s not pretend words don’t have meaning anymore