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Ozempic and Wegowy work by mimicking Glucagon Like Peptide-1 (GLP-1), which plays a role in the hormonal appetite signaling. In other words, it makes you feel full. Ozempic also delays gastric emptying, so you feel satiated longer. And yes, it's true, for the effect to be sustainable these drugs need to be taken for life. Obesity is the condition of mismatch. As in too much energy in as opposed to energy out. Ozempic and other meds are a crutch, not the solution.
Intermittent fasting is not a magic bullet, and I don't think sixteen hours break from food will induce autophagy. From memory, you need a five day fast to get it (I think Walter Longo's research has demonstrated this). If you want to lose weight (and improve many other aspects of health) you need energy deficit. There is no other way around it. How to do it in a sustained way is a million dollar question.
Semaglutide is not primarily a behavior modifier, by the way, it is a GLP-1 receptor agonist.
