Not sure exactly what the question is. These meds have been great for someone like me who stays mostly fit but used to slide during winter. I would get back in shape only to fall off again and repeat the cycle. Now at 38 I'm in the best shape of my life because the medication lets me stay consistent and any slip is small and easy to fix the next day. New data keeps appearing on benefits like reduced inflammation and better insulin sensitivity, so staying on it doesn't worry me. Muscle loss seems no greater than what a calorie deficit alone would cause. Most problems come from people who slash calories to junk levels, skip training, and then blame the drug.
I've stayed active with boxing and running for a decade but my eating got out of hand the last six months and I put on about 5kg after repeated failed restarts. Food has always been an issue for me, with regular weekend binges like two blocks of chocolate in half an hour. The prescription worked well at the lowest dose on the first pen and left me leaner than ever, yet I'm worried about losing muscle even though I eat plenty of protein and lift. I'm also unsure about stopping later because I don't want the old habits back but don't want to stay on it forever.