It can definitely have side effects. Psychological (eating disorders, persistent) and physical (unbalanced diet, or fatigue because the body gets in the “oh fuck must conserve energy” mode).

There is no one size fits all solution. A random 50 year old IT worker with a sedentary lifestyle and a Big Mac diet does not need the same help as a physically active 25 year old with severe hormonal imbalances. Using Ozempic is bad in the former case, but so is shaming the latter person for relying on it.