Anorexics seem to do it just fine, except of course maybe they overdo it a tad.
http://www.nature.com/tp/journal/v4/n10/full/tp201498a.html
Also, it's a mental illness so it's not a fucking choice.
Look, my point is that it's possible to eat fewer calories, but it's not necessarily easy to do it in a way that doesn't harm you. It's not suppressing appetite that is really complicated, it's reducing calories and staying on top in terms of nutrition.