[arkh]

> put in the effort of changing diet

If the genetic / hormonal explanation is right, it would mean the "effort" is not the same for everyone. So expecting people on the wrong side of the equation to not go for a solution to right the scales demonstrate a lack of empathy.

Would you call cochlear implants a quick fix for people who have problem hearing?

[jonahx]

It's not a "lack of empathy". GP is just stating the fact that most people are physically capable of losing weight, but since it is uncomfortable and hard they don't. It's not analogous to being unable to hear.

There's nothing with wanting a quick fix to make it easier and less unpleasant. I'd happily use a provably safe one. The only issue is that currently that fix carries unknown risks.

[pennybanks]

Percent of adults age 20 and older with overweight, including obesity: 73.6%

this is a crisis.

at this point this is like going to a 3rd world country and telling them if you dont want all the problems that come with not having money to just get rich.

like its possible, my brother did it, most my family did it, we all have the capability to do it. it maybe harder for some due to physical limitations or mental ones. so why dont you? dont hate being poor and not getting all the women and luxuries?

74% is sick and its infectious. it curates mental problems that make it even harder to overcome. 74% means there are too many factors that are contributing to this epidemic. if modern technology is able to help get society on the right track i dont know why anyone should be.. for lack of a better word fat shamed haha.

of course we need to be careful and thoughtful. im not even sure though if it will be available for most people anytime soon. i hope so though, iv never been fat per say. maybe a bit more lbs then id like but i do understand how much it helps every part of your life being at a satisfying weight. this could be the greatest cure for depression through medicine ever imo.

i live in one of the fattest cities in america. when i go outside i swear to you sometimes i can go a day without seeing a single person of normal weight. besides the few homeless in my area.

[throw890123128]

Most are capable of losing it, very few are capable of maintaining their achievement for many years.

Rephrasing the famous quote, it's easy to lose weight — I've done it four times already, ranging from 95 kg to 60 kg over the course of the last 15 years. It's much more difficult to maintain healthy weight over the long term — the longest period I managed that was only three years. Even if you have all the information and know which problems obesity leads to, it's difficult to keep yourself from getting back into unhealthy territory unless you're willing to spend your entire life counting calories and tracking weight religiously.

It's something with the brain, it's insatiable and won't leave you alone until you stuff yourself to the point that you physically can't eat any longer. The last time I gained weight (from 68 kg to around 88 kg) I did it eating only healthy food in unhealthy amounts.

If I can get magic fix (like semaglutide) that would allow me not to think about food any longer and maintain healthy weight over the rest of my life, that would be great.

[tasuki]

> it's difficult to keep yourself from getting back into unhealthy territory unless you're willing to spend your entire life counting calories and tracking weight religiously.

It depends on your habits. My habits are generally good enough that I don't need to count calories. Which is mostly luck, not an achievement of mine, btw.

> The last time I gained weight (from 68 kg to around 88 kg) I did it eating only healthy food in unhealthy amounts.

First, there isn't even clear consensus what's healthy and what isn't. But even if there was, I doubt you only ate healthy food. It is very hard to gain much fat eating a lot of vegetables and some fish and eggs.

Of course it's possible your diet is great. My experience with fat people has been that their diet was a whole lot worse than they claimed...

[pjerem]

The whole discussion here is about the environment though.

In absolute, changing diet is not inherently hard : it's pretty easy to eat a balanced diet and get pleasure from it.

But it's not enough to just say "eat better", "do more sports" : people can't change the way the lived their whole life if you don't educate and help them to make the change. The education on this topic is so poor that we are still confusing balanced diet and low-calorie diet.

And then there is the elephant in the room which is the refined sugar : for some dubious reason, most scientists agree that refined sugar acts like a hard drug but nobody officially wants to call it a drug. Recent research are saying that the addictive effects of refined sugar are akin to heroin. That's a serious issue then. What it means is that a doctor asking his patient to eat less sugar / eat a balanced diet without further guidance or help is just like saying to an heroin addict that he should stop.

I'm relatively overweight and pretty self educated on the topic but I still decided to work with a nutritionist to change my diet and we are talking about months if not years of follow-up. Eating habits are largely automated by our biology : willpower and education are nothing against an hypoglycemia induced sugar craving.

Like drugs, most people need help and guidance on the long term to change those habits. But what's even worse is that unlike drugs, unhealthy products are basically everywhere in your supermarket, your TV ads, your billboards, your friends lifestyle, and even worse, profoundly ingrained in the culture. You have to fight the "drug" but also the whole capitalist world around you.

[arkh]

> In absolute, changing diet is not inherently hard : it's pretty easy to eat a balanced diet and get pleasure from it.

But even a balanced diet can let you put weight if you eat too much.

We know genetics disorder like Prader-Willis can cause insatiable appetite. Even with a "balanced diet" those affected by it will end-up obese.

Now the current research on GLP-1 hint at many people having a harder time feeling satiated, not to the Prader-Willis point but still worse than what is considered normal. For people who don't have the problem it is easy to think they just have more discipline / willpower and that's why they're thin. I'd like them to imagine what would happen if after eating 2 or 3 pizza slices they'd still feel like their stomach is empty. What if it's not a one time occurrence but all day every day from the moment they develop a conscience to their death bed. A little like drug addiction but you need some drug to live so it is legal and you can buy it everywhere. Still think you'd have the discipline to not go for the whole pizza?

[pjerem]

I totally agree with you but "being obese" is just a data point. Being obese is defined by your ICM, which means nothing else than being heavier than the norm.

Being obese with a balanced diet is absolutely not the same thing than being obese because you eat too much "bad" calories. Obese or not, a balanced diet gives you everything your body needs to function properly, be able to move and for your mind to be clear.

The thing is, obesity is a really, really recent trend in humanity history, so recent that a lot of countries are still not concerned by the phenomena (but it's changing). It's pretty certain that _something_ in the environment changed recently and made the humans obese.

People who blames other people willpower just don't understand that if obesity is in an uptrend, it means that people who were previously healthy are becoming obese for some reason. Something new pressurizes humans to become obese and the only question is not if you are concerned but when will the pressure be high enough.

I think it's refined sugar. Plus a bonus of sedentary lifestyles.

[vinhcognito]

> I'd like them to imagine what would happen if after eating 2 or 3 pizza slices they'd still feel like their stomach is empty

Even that is the generous interpretation. Imagine instead of just their regular (or lack of) hunger signals, people had an alarm constantly ringing in the head telling them to eat all the time, that was only ever silenced if they over ate. The persistence of it pushes it in the direction of mental torture.

Yes, technically it can be overcome, but it is a huge tax on your life.

The truth is we can never really know what someone else's inner experience is.