If instead you choose to be your own doctor, research the best approach you think might work and take responsibility for your health, then you have a good chance of succeeding. People can't be told what to do, they have to discover it.
In terms of policy, gastric bypass appears to be the sanest policy. Relatively safe, effective, some types are reversible and cheaper than a lifetime of GLP1 agonists.
We need more research into what is driving the obesity epidemic at the brain level. Or if there even is an obesity epidemic vs. humans didn’t evolve with Costco like food availability.
If someone eats 100% keto, that might not be a problem. But the average Joe is going to think "hey I've heard about this keto thing, that means I should eat more steak and butter". Ultimately this translates to a mixed high saturated fat + carbohydrate diet which is the worst of all worlds.
Have not tried it yet, but it's on the list (https://exfatloss.substack.com/p/hypotheses)
But yea the diet as listed is keto AF. I test 1.7-2.7mmol/L most of the time when on it.