It is worth looking into whether the insurance would cover them for purely weight loss, not diabetes control (I am glad that you are not diabetic or prediabetic). Side effects of weight loss meds are manageable and subside over time. I have lost 20% from my highest body weight in less than a year on Ozempic. I also am doing strength training and last year I switched from Zyprexa to weight-neutral Latuda, so those might be factors in the weight loss as well.

In terms of the risk of destabilization, the weight loss on weight loss meds is gradual. It is probably not akin to sudden weight loss you associate with being at one of the two poles.