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There are some very rare possible serious side effects. I'm not sure what the numbers are. No one is being forced to take it.
I'm a caregiver for a diabetic person and Medicare decided at the new year that they would not cover the medications he's been doing very well on because they (state insurance, not his doctors) want him on Ozempic instead. They let him keep his insulin, but Victoza, Pandin and Jardiance are gone. We're having a very hard time keeping his blood sugar steady, he's getting dangerous lows that he's not capable of communicating to us, and higher spikes than I've seen in the four years I've cared for him, so we're testing more frequently and no, they will not cover the additional testing supplies, that's out of pocket now.
So, yes. Some people on Medicare are being forced to take it.
The US medical system is grotesque.
I am taking Ozempic, Metformin, and Jardiance but I live in a civilized country where my doctor makes the decisions about what drugs I am taking and talks to me about his recommendations before prescribing.
That's kind of missing the forest for the trees. Dying because some company pushed weight loss pills on your doctor who then pushed them onto you is kind of fucked up just like drugs like Chantix driving people to kill themselves or leak fluids out of their asshole in order to stop smoking, two things that have a multitude of other methods to acheive the same goal with much less of a risk.
You're free to choose not to take it.