Comment by apple4ever | Hacker News Reader

Comment by apple4ever | Hacker News Reader

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> the people who stop taking GLP, 75% gain 50-75% of their bodyweight back and lose all concomitant cardiovascular, cancer etc. risk benefits.

I don't think that framing is right, from another study:

* 17.5% maintained 75+% of their weight loss

* 25% maintained 50-75% of their weight loss

* 23% maintained 25-50% of their weight loss

* 24% maintained 0-25% of their weight loss

At least 75% (possibly more!) maintained some form of weight loss 25% to 75%+. That is tremendous. And 43% maintained 50%+! For reducing being overweight, that is just amazing.

> I hate that our solution to obesity is not the way Iceland treated it's youth drinking problem: reduce access to the harmful thing, give people money and support to do the healthy thing. Stick with it instead of cancelling the program if it doesn't show results in 4 years.

I don't think it's possible to "reduce access to the harmful thing" when that thing is "food".

Many people show long term results even stopping it. I don't understand this desire to say "people should suffer!" instead of taking something that helped them.

Plenty of people have tried (me included) but if it was easy to lose weight, nobody would be long term overweight.

Exactly this. It gives you the CHOICE to stay healthy. Losing alot of weight is hard, before Ozempic I went to a weight loss clinic where they precribed stuff like the "hcg diet" or old medically assisted fads. I lost ALOT of weight, online they would all say the same stuff of "you'll just gain it back".

A person cannot lose weight that fast normally, losing 70 or 100 pounds at 2-4 pounds a month is alot of time. But I was able to lose it and go from not being able to run, to being able to walk and run all day at festivals. Guess how it's easier to lose weight now...

I think alot of people don't understand how hard it is to exercise or lose weight while fat, just due to the join pain and muscles. Let alone shoes not being meant to support you. Losing that, it becomes alot easier to "just go for a walk", or work on cardiovascular health. I got on it after I went on a trip with a friend and walking for a few hours had me bed ridden the next day and he was like "Ya, I'm tired but I could walk all day if I had to", and he wasn't fit. Now I'm that person and can fit in a whole meal with how much I burn from walking/running.

I will say for the time I was on a GLP-1 at the end, it's amazing. It's almost the same effect as the other pills on appetite, but without the side effects. Phentermine and other stuff will make people manic, paranoid, or make your heart pop out of your chest. This type of drug is a godsend, and anyone who's committed will maintain the weight loss and live a healthier lifestyle.

> I think alot of people don't understand how hard it is to exercise or lose weight while fat, just due to the join pain and muscles.

That's right. I think the people who have done it successfully without the shots aren't that obese compared to those who need it.

> I don't understand this desire to say "people should suffer!" instead of taking something that helped them.

Religion is my assumption. Or human nature more generically. Gluttony is one of the seven deadly sins in Christianity. So it is a moral issue for many people.

> I don't think it's possible to "reduce access to the harmful thing" when that thing is "food".

If you look at obesity, it was a very stable problem until the 80s, when it suddenly skyrocketed across all age groups and both sexes. So unless we had some sort of mass infection of a discipline-destroying virus, another factor must be at work. Which, rather clearly, is food engineering.

So miss me with 'the thing you don't want me to have access to is "food"..'. No, the thing I want is for food to to back to being more natural and not tweaked to the microgram to elicit the highest hormonal response.

So no, I do not want to reduce access to "food".

> I don't understand this desire to say "people should suffer!" instead of taking something that helped them.

Cute strawman. I didn't say anywhere that people should just "tough it out". Food can be addictive just like alcohol or cocaine.

There is the nit that people using GLP drugs think those that control weight the normal way do it happily, resting on the couch or in bed smilingly as their stomach grumbles. We don't. We suffer too. It's not easy for us.

> So no, I do not want to reduce access to "food".

But you do, to foods you think is best. Regardless, it'll never work.

> Cute strawman. I didn't say anywhere that people should just "tough it out". Food can be addictive just like alcohol or cocaine.

Not a straw man, it's taken from your own words - because you literally just said "the normal way". If we could do it that way, we would! We know you suffer, but you want us to suffer too, but also not lose weight. Because that's how it works for us.

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