There are now oral and injectable options, and the choice is less about which is better and more about which you will actually stick with.
A weekly injection into the stomach, thigh or upper arm, using a pen with a very short needle. Most people find it easier than they expect. The dose is stepped up gradually over months to limit nausea.
A daily tablet. Some of the newer ones work through the same hormone pathway as the injections; orlistat works differently again, by reducing how much fat you absorb, which brings its own very practical side effects if you eat a fatty meal.
If needles are a genuine obstacle, that decides it. If you know you will forget a daily tablet, a weekly injection is more forgiving. Budget matters too, and the pharmacist will be straight with you about the difference.
Your BMI, your medical history, and every medicine you take. Some combinations are unsafe and some conditions rule these treatments out entirely. This is a clinical consultation, not a purchase.
Any of these treatments works alongside eating differently, not instead of it. The medicine makes that easier by reducing appetite. It does not replace it, and the weight tends to return when treatment stops without the habits.
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