Give it Time: Cellular changes don't happen overnight
Additionally, you cant get more than three injections a year

Effects of Low-Dose, Controlled-Release, Phentermine Plus Topiramate Combination on Weight and Associated Comorbidities in Overweight and Obese Adults (CONQUER): A Randomised, Placebo-Controlled, Phase 3 Trial (April 16, 2011) TOPAMAX (topiramate) TABLETS, for oral use product label (1996) Topiramate (Topamax): Evolving Role in Weight Reduction Management: A Narrative Review (August 31, 2023) Efficacy and Safety of Topiramate in Binge Eating Disorder: A Systematic Review and Meta-analysis (July 9, 2020) Brief Communication: Sleep Curtailment in Healthy Young Men Is Associated with Decreased Leptin Levels, Elevated Ghrelin Levels, and Increased Hunger and Appetite (December 7, 2004) Effects of Chronic Social Stress on Obesity (January 11, 2012) Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association (October 11, 2016) Severity of Topiramate-Related Working Memory Impairment Is Modulated by Plasma Concentration and Working Memory Capacity (April 16, 2020) Clinical Utility Of Phentermine/Topiramate (Qsymia) Combination For The Treatment Of Obesity (April 08, 2013) Once-Weekly Semaglutide in Adults With Overweight or Obesity (February 10, 2021) Tirzepatide Once Weekly for the Treatment of Obesity (June 4, 2022) OZEMPIC (semaglutide) injection, for subcutaneous use

Population matters more than most side-by-side tables acknowledge
It will be interesting to see what other changes they make now that they need to answer to investors instead of users