On this medication for type 2 diabetes, so the long-term commitment was expected going in.
Started small and increased monthly. Pretty sure nothing changed until reaching a moderate level. Only then did weight actually start moving. Eventually reached a strong amount and held there a few months. Bloodwork improved enough to ask about dropping the dose. Probably sticking with a slightly lower amount since food noise returns even there, though nowhere near as bad as before.
Everybody responds differently. Even without much early weight loss, research on this drug class shows nearly everyone sees improvement in at least some health markers.