I'm not surprised. Unless some really drastic long-term negative effects come up, I think these drugs are going to end up as popular as caffeine or acetaminophen.
If it works for them and has 0 negative health effect, good for them, but philosophically it opens up a lot of questions
I stopped taking tirzepatide in September after losing 60lbs. Except for a blip at Christmas I am eating the same things and same amounts that I was during the weight loss with glp1 and I am steadily putting on weight, there is definitely something else going on and yet for the 20+ previous years where I've struggled to lose weight I've been told that I'm just not counting calories right.
As you said the first time I felt really full was on these drugs, and the lack of food noise - which is slowly returning but not as quickly as I thought - was wonderous.
On the other hand, studies have shown that almost nobody can count calories right, so it's probably useless to try and rely on outside of basic order-of-magnitude kind of things.
Perhaps they're just depressed and obesity is part of a vicious cycle of seeking comfort in food and feeling bad about themselves afterwards?
Every one of the BMI 40+ people that I've met had unresolved issues. Sometimes it makes them say things which are difficult to understand from a healthy person's point of view.
No one is saying that being overweight is healthy. Most of those social campaigns were saying that we shouldn’t shame people for their body.
Also, plenty of studies have shown that weight control isn’t as simple as self control. Different people have different bodies that react differently, and plenty of people have other conditions that limit their ability to control weight.
Gaining weight is easy, and losing it is hard. The body evolved to treat a caloric deficit as literally painful. And losing significant weight requires months or years of deficit, which is months or years of pain. That’s tough to overcome with “a little bit of hard work and self control”.
Anecdotally, I’m a perfect example of this. I used to be a runner, and thin. Then I got sick, and my BMI doubled in months. It’s taken at least a year to undo months of illness. I can’t imagine what someone with chronic illness, or even more weight must go through. I live in a city and walk instead of drive, but not everyone has that lifestyle and it’s not a easy thing to change (“why don’t you just move a long way away to an expensive place and sell your car”). Of course, you should not require someone to do everything just right on paper for their views to be valid. Plenty of people struggle with the motivation, time, or finances to make healthy decisions, and those people are real and should be supported too.
It’s been studied and proven ad nauseam that food can be addictive and that addictions aren’t a matter of “self control” the way people want it to be.
Uh...
https://www.uchicagomedicine.org/forefront/health-and-wellne...
> Yes, you can be overweight and metabolically healthy. At the same time, we know that obesity is a disease that affects the body in many different ways. Thirteen types of cancer and 200 other health conditions are related to obesity.
> Those numbers [weight on the scale] directly correlate to life expectancy.
Also note, metabolic health doesn't mean "will live a happy and long life with good statistical outcomes for other areas". It mostly means things like "you're not anemic, not diabetic, you have acceptable cholesterol, etc." it doesn't mean "your knees will be fine as you age" nor does it mean "you are at a similar likelihood to develop cancer as someone who is not overweight". It's a pretty narrow definition that's focused on the hyper-immediate.
It is amusing in some way that that doesn't get as much press as all the weight loss and prettification.
(1) https://www.drugs.com/sfx/ozempic-side-effects.html scroll down to serious side effects and note it leaves a very serious side effect https://www.drugs.com/medical-answers/ozempic-cause-muscle-l...