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My argument is that in 2022, the medical advise and consultation of “diet and weight loss is the solution to obesity” is not true on a population level. We now have other tools to address obesity that are both pharmacological (GLP-1/GIP acting) or surgical (bariatric surgery). We should stop admonishing patients for not following treatment guidance (eat less, exercise) and instead provide them with solutions that actually work reliably. I have nothing to add to the causes of obesity, and eating properly and maintaining a high level of activity are clearly good at preventing people who have never been obese from becoming obese.