I was lucky in that my doc has been very open to treatments for alcholism and obesity. She prescribed me Nal but it made me very nauseous, worse than Semaglutide. Tried to do the Sinclair Method but just couldn't do it. Then it was the actual diabetic A1C diagnosis that got her to prescribe the Rybelsus. And she was very supportive of me moving to Mounjaro (tirzepitide) when I plateaued in my weight loss.