Whatever the situation, it's about to get worse. I recently ran across a study indicating that maybe 12% of the American public is 'metabolically healthy'. I have issues about methodology and their definition of health, but still, that's pretty damn scary.
That said, your mention of Ozempic got me nerding out a bit about semiglutides and GLP-1 . It's been an area of interest for me as my dad was T2D. Without diving in too far, I'd point out that there are other semiglutides (also probably overpriced, given our pharma climate, but still...)