[AstralStorm]

Every obese person needs "remedial help", that's the definition of treatment. Even attacking the problem from multiple angles may not be enough. Counting calories combined with accurate monitoring helps but is very often insufficient. And even from just that the drop out rates are big - even without actual caloric restriction.

Increasing base metabolism is known to not work as it does not suppress the appetite or fix reward loop. Though thyroid therapy may be needed for some cases.

Dopamine uptake inhibitors exist but they have other side effects, petty bad. (Among them addiction.) SSRI make the problem worse, as do certain antipsychotics.

Direct appetite suppressants have not been invented yet though you can cheat some with special diets. (Well there are some but they're not stable and pain to inject. Could be done like insulin injections but somehow not considered cost effective and unsafe as ghrelin has additional functions.)

Having accurate data on food contents (including caloric) is vital but insufficient.