I’ve been dailying the exact same arch installation since 2014 without reinstalling it a single time.
Now to be fair I did have it non-bootable at several points. Worst of which was a PAM update which broke it completely because the new config was in a .pacnew file and the old one was not compatible anymore. But since it was a edge-case there was no forum post about it. Still recovered it just fine after an hour or so of troubleshooting.
It’s all open-source and usually decently documented. The only reason anyone should have to reinstall a Linux desktop is lack of experience, but I would always advise to persevere because troubleshooting my system is how I gained much of my expertise. If that’s not what you want, stick to Debian.






It can definitely have side effects. Psychological (eating disorders, debilitating feeling of hunger) and physical (unbalanced diet, or fatigue because the body gets in the “oh fuck must conserve energy” mode).
There is no one size fits all solution. A random 50 year old IT worker with a sedentary lifestyle and a Big Mac diet does not need the same help as a physically active 25 year old with severe hormonal imbalances. Using Ozempic is bad in the former case, but so is shaming the latter person for relying on it.