The fact is that the food we eat has evolved over time, and is too hard to resist overconsuming for a large fraction of our population. If we can create more addictive food, why not create antidotes? If we could easily treat alcohol addiction with a pill, would we tell alcoholics to just apply willpower instead?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539812/
If at best only one in fifty can do such a thing, when the entire world is screaming at them to do so then you must re evaluate your position that it’s about just making some changes and having it all work out. Becoming a normal weight is just not something that you can expect for most currently obese people to achieve. The facts were have seen do not support the idea that it’s something that people can knuckle down and do in the majority of cases.
Whether the causes are biological, social, or whatever it’s something that we have not been able to even slow down as a society yet. The article mentions the abject failure of decades of efforts from doctors, government and individuals that have lead only to greater rates of obesity.
Even these drugs won’t be enough, given the best results in studies only show something like a 20% loss after more than a year. For many obese people, that leaves them still obese but $15k poorer if their insurance doesn’t cover the drug.
If you managed to lose a bunch of weight, congrats. But the experience is not generalizable, unfortunately. It’s really not for lack of effort on anyone’s part.
The health benefits of losing that amount are enormous. In fact, they may get ~80% of the health benefits of a healthy fat percentage. Their blood pressure will plummet, their salt intake will drop, they’ll eat less sugar but more lean protein (it’s common to crave it). Because of this their blood work will improve and they’ll be at significantly lower risk of diabetes and heart disease etc. Don’t let perfect be the enemy of the waaaay better!
I don’t think that being obese is a moral failing at all. But caloric deficit does result in weight loss.
Anyways, there are plenty of other benefits that come from exercise and a healthy diet, besides weight loss. Hopefully these drugs can be used as part of a more holistic improvement in lifestyle, and not as a sole treatment.
The thing that helped was a complete, week-long fast (I had 13 weeks of PTO per year so sacrifing 2 wasn't a huge deal then), that I prepared with my family (lot of them are either doctors or PT). The second day was worse than when I dislocated my ankle, except in my whole body, without the adrenalin/shock to help with the pain. The pain came in waves. Once that passed I was mostly fine, and the third day until the last I was mostly functioning (I tired easily, and couldn't work or really exercise, but I was mostly fine and could go out and walk).
If I knew those drug existed, I think I couldn't have passed that second day, and taken those instead.
Talking about things that are feasibly solved with willpower as if they should be achievable because people ought to be able to willpower their way through any plausible challenge is just bullshit. The world is full of people who are so eager to say that they did it ergo everyone else is just being lazy. But just… shut up. Everyone has different circumstances. Things that are very mentally hard are very mentally hard and we don’t need to pretend otherwise. It’s complete bullshit and moral high grounding. It’s not helpful in the slightest. It’s not an easy way out. It’s a way out.
Telling people who've lost weight through willpower to just shut up is rude and unhelpful.
I lost 90 lbs through diet and exercise. When I say that others could do what I did - which is true for many - I often get people asking me for advice, which I give. What's wrong with that?
So good job. But shut up. Whatever rudeness you feel from me saying shut up is FAR less rude and unhelpful than the poor people you’re telling to “power through it” who are certain that they cannot. Because you are implicitly calling them weak. And that’s fucked up.
Because for the third time, it might be MUCH harder for them to lose weight than you.
You can't see how presumptuous and rude this is? And how weak you are presuming all of these people are? Treating them as if they have no agency and they cannot handle hearing someone else's life experience.
While I don't doubt for many people it would be harder to lose weight than it was for me, you also have no idea how hard it was for me to lose weight. So what? Other people like me exist.
I lost weight by listening to other people who lost weight and learning from their experience, and I'm available to do the same for others. Why you think this is "fucked up" and demand I shut up is just bizarre.
If people want your advice on diet and exercise they can ask for it. Otherwise, I trust they know it’s an option
After 5 years of vigilance the mental and social toll was just too much and I gradually let down my guard within about 3 years I was up 50+lbs.
So now 10 years on it's corner cutting because there's a medical intervention that can help or just weakness because I can't find the will to do it to myself and people around me all over again?
Not helpful.