Also respectfully, there's a lot of things that compound leading to obesity, we (as a generalisation) seem to historically treat it as if it's a some sort of personal failure rather than a condition. Would you have the same concerns about smoking or alcohol cessation drugs (which afaik ozempic actually does help with the latter)? Food addiction is a thing and we have poor mental health support. The people I know on ozempic talk about it being a life changer for them (which I understand, vyvanse did the same thing for me) if only to help shake their addiction to enable them to make lifestyle changes.

It seems like a good tool to have in doctor or other healthcare professional's toolbox for delivering complex care, as long as complex care is provided and it's not treated as a simple solution to a complex problem. Canada certainly has healthcare professionals with the skills and knowledge to provide complex care. As long as we have provincial systems that support and enable them to provide that care, and providers who choose that path, having this as a generic drug seems like a win to me.

I had a 400lb coworker who had the stomach surgery for weighloss, the plan is you alter diet to assist the smaller area that was stapled. He was eating bags of McDonalds food the next day. So obviously it didn't work.
At least with Ozempic there might be a chance daily habits change long enough to have success later when off of it.

Neither treat the underlying eating problem though.

Respectfully, that's more a decision between the prescribing physician, and the patient. If the Doctor has actually prescribed Ozempic(or it's generics) per the drug manufacturer and health Canada's Ozempic guidelines then even if the person is not doing enough to change their lifestyle the effects will lessen the cravings and general glucose management in the diabetic patient. the real thing to watch is the other forms of semaglutide which can be prescribed outside of diabetes as they have much looser guidelines around them a lot more open to interpretation. would recommend talking to a doctor about this, you're not wrong but the risk that does exist is not necessarily what you might think. I'm much more concerned about the relaxing of the guidelines then the use of it.