> I'm sure I could find an unethical doctor to prescribe it if I looked hard enough

I'd say the only unethical doctors here would be the ones not prescribing it for you based on your description of your life and needs.

Guidelines are guidelines, not strict rules for a reason. BMI is not the end-all measurement to decide if you are a candidate for these drugs.

Find a competent doctor who understands GLP-1s and you might be surprised.