What to know before starting?

Hello all! I have just been prescribed Zepbound for obesity/hypertension/high cholesterol. I've been big my whole life, definitely at my heaviest now! I feel pretty nervous- this would be my first experience with any kind of weight loss medication, and I'm not sure what to expect in terms of its impact on my body/day to day life! I've also felt really overwhelmed by all of the discourse around these medications-- positive and negative-- and how they relate to cultural norms around health, body positivity, etc.

I am a 35 year old Black woman with a family history of heart disease and diabetes, i also have PCOS. It's really important to me to minimize my risk of heart problems and fertility issues, and I ALSO don't want to undo all of the gains that I've made with my own self esteem/body positivity journey-- starting the meds feels like turning my focus to weight loss in a way that's kind of a slippery slope.

Has anyone else worked through feelings like this? Is there anything you wish you'd known before starting Zepbound?

Thank you!!