Short version: went on this to tackle worries around cholesterol levels running high and a strong family history pointing toward diabetes down the road. Suspected PCOS in the mix too, plus general confidence issues.
My doctor wrote the script mainly to help me lose weight since my BMI put me right at borderline obese (comfortably in overweight territory now), but the system needed a separate medical justification for approval. High cholesterol ended up qualifying as legitimate grounds.
Every single relative of mine got a diabetes diagnosis sometime in their thirties, and since I'm turning 35 this year that puts me squarely in high-risk territory, even though I genuinely make an effort to live well (within reason, still letting myself enjoy things rather than going overly strict). That family risk alone doesn't count toward approval unfortunately, but my provider cares a lot more about heading problems off early than reacting once they've already arrived, so he helped dig up other qualifying angles for me. Can't thank him enough for that.
What's driving me personally? No formal diagnosis yet, though my women's health specialist strongly suspects it's PCOS, and hormone therapy's currently addressing that alongside a few other symptoms. Self-confidence sits near rock bottom, and honestly, feeling okay in my own skin is really all I'm chasing. Made real progress dropping weight independently early on, then hit a small bulk phase, put