I’ve been tempted to talk to my doctor about something similar as I’m probably double my ideal weight right now. I’ve been trying to exercise more but I know for the last year or so I’ve been eating way too much junk as a coping mechanism. Thankfully I’m starting to get that under control but still struggle at times.
This illustrates a separate but very related problem of mental health support in the USA. Too often it is not covered / under-covered by health insurance. I remember when my son was diagnosed on the Autism spectrum having to jump through hoops with his therapist because our insurance wouldn't cover Autism therapy, but would cover anxiety support. Certainly support for people (including myself) who self-mediate through eating would improve overall health outcomes.
Not suggesting that there is a once size fits all solution. I would see mental health assistance, GLP-1 blockers, and improved exercise/diet as complementary paths to health -- one that would need to be very personally tailored to an individual's situation.
(There is also a high correlation between the "you can't lose weight 'cause y'all suck at self control" and "only wimps need to talk to therapist" crowds).