You're missing something.
More or less anyone can get to the point of being active enough where their body's ability to absorb calories is a limiting factor. It's not genetic or "some people" kind of thing, everybody has this limit and can hit it and people who are really excited about exercise and do a tremendous amount of it have to have strategies about how to get enough calories in their body on a day to day basis.
It's a lot of activity to get to this point, but some folks have magical thinking about eating.
Anyone absent a significant disability can be active enough to lose weight regardless of diet.
I'm not saying the "go insane and spend most of your free time exercising" is the best course of action, but far too many people have magical thoughts about changing diet or changing activity levels being ineffective for changing body composition.
Getting sat down in a doctors office and being told to do this isn't particularly effective, but that's different from actually doing it being effective.