AAP Guidelines on Semagluetide in Adolescence

The only one that on the surface seems like an actual option is semagluetide, which is sold as Wagovii by Novo Nordisk. It was a study of I think 134 kids and they lost 16% of their BMI on average. The guidelines recommend that you shouldn't be on it for more than two years. If people are losing 16% oftheir body weight and then gaining back 30% of it, then like what are we doing here?