Same story here. My BMI sits at 27 but I went ahead with glp anyway since hitting perimenopause I've packed on 20 pounds, and despite trying everything, nothing's shifting, and I'm feeling worse overall, it's more than the self-consciousness, genuinely worried insulin resistance is creeping in too. My hips and shoulder ache pretty much nonstop and I just feel generally worse than I'd like.
My spouse and one of my kids are aware (not sure if she's told her siblings). She stumbled onto extra needles in a drawer and asked about them. When I explained, she just said something like 'makes sense, that's exactly what it's meant for, you've worked hard and been struggling alone,' and honestly that meant a lot. Still hesitant to tell the rest of them though, don't want them assuming I took a shortcut, and definitely don't want them thinking it's a fallback option down the line (I eat quite well but don't lecture my kids about it, they understand nutrition fine and I'm not going to make them feel guilty over the occasional cookie or ice cream).
As for everyone else, they don't get told, none of their business honestly, and outside my spouse and kids I really couldn't care less what anyone else thinks!!!