I mean you'd probably want to see one to make sure your heart was healthy enough if you and your doctor decided that the benefit of weight loss medication, namely amphetamines because they're old and we know a lot about them, outweighed the risks.

That sort of determination is above me though. Probably a moot point anyways, doctors are scared shitless to write any controls these days, but they used to make a determination if the weight was more adverse to your health than the meds.