[cthalupa]

You can't exercise out of being fat.

It's a hugely important thing to do for your health in general, but the amount of effort needed to counteract the modern diet via exercise is absurd.

The alternative is eating better - better food, less calories. But for a lot of people, they have tried and failed to do this for years. Even people that have had a history of being able to do this successfully can find themselves struggling. And once you're fat, the feedback loops kick in and make it more and more difficult. Is it within everyone's power to not be fat? Yes. Is it significantly harder for some people for a variety of reasons? Also yes.

So we could act like this is a moral failing and fat people should just be fat until they manage to scrape together the willpower to ignore their body pushing them to eat, or we could recognize that these medications are extremely effective at helping tame those signals their body is sending. (Plus seeing a tons of other positive impact on things like fat deposits in the liver, insulin resistance, cardiovascular protection, sleep apnea, etc. - and these are seen even before significant weight loss occurs.)