[Spivak]

I think science has given people with bodies that don't tolerate restriction an out in the form of Ozempic. I've seen a few of my friends go through it and it's scary effective. It's not a forever solution and you do eventually have to form better eating habits to maintain your new weight but being overweight is so damaging to your body that it's not worth the fight if you've been trying and failing to lose weight via the usual channels. Just cheat and then work on not putting it back, your knees will thank you in 40 years.

Source: Two family members in their mid-50s who have had double knee replacements due to them being overweight their whole lives.