Some patients cannot take a GLP-1, some cannot afford one, and some simply do not want an injectable. A licensed provider reviews your history and prescribes a metabolic approach when one is clinically appropriate.
Contraindications, prior reactions, cost and personal preference all rule GLP-1s out for real patients every day. A licensed provider reviews your intake and decides whether a non-GLP-1 metabolic approach is appropriate for you. Some of what may be prescribed is used off-label for weight management; your provider will explain what that means for your case, and not every patient is a candidate.