The author acts like the only option available to them for weight loss is a GLP-1. The author is a physician in the USA; I think it is safe to assume that it is within their ability to eat well. They state that as they recover from the birth of their child (which, i may argue, might be a greater impact on their quality of life than overweight and ozempic), they’re feeling better and exercising.
I’m not sure what their point is, beyond promoting the idea that obesity isn’t a problem.