I haven’t done the type of deep dive research others mention here but I trusted my doctor when he told me this was a good choice for me. I also don’t live in the US so have no reason to believe he’s being paid off. If there are worse consequences than what I’ve discussed with him already, I guess I’ll have to deal with that.

There are also non-medicinal ways to treat binge eating, and I’ve known people that have had good success with therapy/CBT for that, in case that’s something you can afford or are interested in.