Start with the prescribed dose and you will notice effects even in the first four weeks and definitely on the next level. It works well against food noise and has some inflammation benefits too. Later you can look into other options if you want, and even staying on this one would cost far less than pharmacy pens.
I'm a 44-year-old male, 192 cm, currently 137.3 kg and living in Europe, Belgium, Antwerp. My doctor prescribed this medication to treat morbid obesity and I start the first dose tomorrow night. After looking into options I think another one might suit me better later for liver and visceral fat reasons, but I want to begin with this for the first weeks. This will be my weekly check-in spot. Current stats: BMI 36.8, 86.7 kg muscle, 46 kg fat, 62.2 kg water, visceral fat 6.4/20. Main worries are building resistance training slowly because of a shoulder injury and breaking old food habits even though hunger is lower.