system
Given the following post, respond as if you're commenting on Reddit:
human
CMV: The use of pharmacological stimulants as a treatment for non-chronic obesity and binge-eating disorders is unfairly socially stigmatized, and because of this is underutilized by patients and medical practitioners in a non-trivial amount of cases wherein it would do more good than harm overall

To start off, my scenario: I dropped like 35 pounds in 2 months using stimulants for weight loss with absolutely no effort. I had no history of addiction to amphetamine derivatives, no heart or cardiovascular conditions, had the capability to pay for my stimulants and medical consultations financially, had no major side effects or pharmacological contraindications, and had short-term weight gain due to the bad mental health that came with COVID over the past 2-3 years.

I understand that I have very specific circumstances. However the argument that I'm making is that due to social stigma specifically, there exist a non-trivial proportion of obesity cases wherein drug treatment does not come to mind or is otherwise not considered by both patients and medical professionals, even though it could be determined more probabilistically likely than not that it would have done more good than harm than the alternative treatment (or lack thereof) in that specific demographic:

Many different people use and are prescribed by medical professionals traditionally addictive drugs to treat conditions they were both meant and not meant to, and for reasons they were and were not originally synthesized for.

Why is weight loss the only scenario wherein people who are uninformed pharmacologically outright reject the treatment for themselves in situations where it may have caused more good than harm overall, and pass judgement on people who have specific circumstances where they state that it was the best medical decision?

Obesity kills so many fucking people per year, imagine if people reacted to medical therapy for heart disease or vaccines for inectious diseases in the same way they reacted to drug treatment for weight loss.

It's not as if stimulants aren't prescribed for binge eating disorder and obesity, it's just that it doesn't happen widely. The idea that "there's no magic pill that will make you lose weight without effort" is literally false, it's just that those magic pills come with negative side effects that will a decent amount of the time outweigh the positives.
gpt
I think there are two main reasons that stimulants aren't used a lot more for obesity.  First, obesity goes hand in hand with cardiac complications and there are no stimulants powerful enough to affect weight loss without placing significantly increased strain on the heart.

Second, stimulants can be very useful as an aid to weight loss, but they do not cause weight loss without behavioral change in vast majority of cases.  Doesn't matter if you take Adderall or vyvanse if you also eat 2 buckets of KFC for every meal plus ice cream and constant snacking.  You still have to do *some* calorie restriction, otherwise you won't lose any weight at all.  This is especially true when you consider that the patient will eventually go off the stimulant and will need to make behavioral changes to maintain any weight loss.  So the majority of cases, stimulants do not eliminate the need for underlying behavioral change, they just make that part easier and improve results somewhat.  

Ultimately, that means for many if not most overweight or obese people, stimulants can present significant risks without much possibility of long term reward.  Or at least no reward that couldnt be achieved with behavioral change by itself.  Which is why stimulants aren't used more frequently than they are currently.