There’s a shortage of it. They cant produce enough of it right now. So pretty prolific. Also it’s an injection.

But there’s online services that will let you get it for weight loss for like $200 a month and practically no push back because they are operating in a weird online pharmacy grey market. The Verge just did a big article about it. But that worked so well that company isn’t doing it anymore because they caused a shortage and can’t supply themselves.