Will Ozempic and other drugs like it eliminate obesity?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the [b]idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

I am a fat person on Ozempic. I don't like being fat and I don't accuse others of fat shaming. However, I am surprised that people still think they are telling me something new when they talk about healthy eating etc. I've heard it all before, I lost weight countless times, I worked with numerous trainers, I very well aware of how much calories various foods have. I am sure some young people don't know that stuff but everyone over 25 who has struggled with weight pretty much all info they will ever need.

Yep. I guarantee I know more about nutrition than 90% of the population. I have done it ALL. My metabolism sucks, I've been overweight since I was a healthy, active 12 year old. Yes I am capable of being thinner than I am currently, but for me and my body it's practically a full time job to keep my diet as rigid as it needs to be. Who gaf if some medicine makes that job a little easier for me?

If someone is taking ozempic and also eating a terrible diet and not exercising, they will suffer health consequences. That is also true about someone who is naturally thin who does those things. And believe me, plenty of naturally thin people eat like garbage - I'm married to one. These are separate issues.

So that is great, you both are examples of people who are benefitting from the drug and need it because diet and exercise have not worked.

But that doesn't change the fact that diet and exercise do work for some people to lose weight. And they are good for you for other health reasons, as stated above. So the message should still be diet and exercise, and if that doesn't work, look into drugs or surgery as a last resort.

You run into walls recreationally, don’t you? It doesn’t matter how many statistics people show you, you really believe that “diet and exercise do work for some people to lose weight.”

Sure. But not many. And the ones who keep it off are so rare there’s actually a registry.

Look, just because you don't know anyone who has done this in real life, that doesn't mean they don't exist. It's honestly not that rare. Go out to where the fit, healthy people hang out and talk to them, listen to their experience. Some have kept weight off for years or even decades by making permanent changes for the better.

Is it that hard to imagine there are lots of people who have lost weight and never bothered to sign themselves up for a registry?

I think all the people saying it can't be done want to be right because they want to have a justification to take the meds. They are in denial that anyone else could make positive, impactful lifestyle changes that are sustainable. Despite many success stories, including on this very forum.

But it makes them feel better to say it's impossible, no one has control over their fate of becoming obese, and there is nothing they can do about it except taking drugs.

Go ahead, show us some actual data that suggests the odds of permanent weight loss of 50 pounds or more are greater than, say, 10 percent.

I know actual people who have done this. They are not a part of any study. 10 percent is not that much if you are talking over 250 lbs.

Not the PP this PP is responding to, but I think this PP genuinely does not understand what a study is. I think she literally thinks that the people she knows represent public health.

There is nothing you can do about a lack of education this profound.

Please enlighten us on what caused the obesity rate in the US to more than double in recent years. It's great to be in the presence of such highly respected scholars here on dcum.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the [b]idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

I am a fat person on Ozempic. I don't like being fat and I don't accuse others of fat shaming. However, I am surprised that people still think they are telling me something new when they talk about healthy eating etc. I've heard it all before, I lost weight countless times, I worked with numerous trainers, I very well aware of how much calories various foods have. I am sure some young people don't know that stuff but everyone over 25 who has struggled with weight pretty much all info they will ever need.

Yep. I guarantee I know more about nutrition than 90% of the population. I have done it ALL. My metabolism sucks, I've been overweight since I was a healthy, active 12 year old. Yes I am capable of being thinner than I am currently, but for me and my body it's practically a full time job to keep my diet as rigid as it needs to be. Who gaf if some medicine makes that job a little easier for me?

If someone is taking ozempic and also eating a terrible diet and not exercising, they will suffer health consequences. That is also true about someone who is naturally thin who does those things. And believe me, plenty of naturally thin people eat like garbage - I'm married to one. These are separate issues.

So that is great, you both are examples of people who are benefitting from the drug and need it because diet and exercise have not worked.

But that doesn't change the fact that diet and exercise do work for some people to lose weight. And they are good for you for other health reasons, as stated above. So the message should still be diet and exercise, and if that doesn't work, look into drugs or surgery as a last resort.

You run into walls recreationally, don’t you? It doesn’t matter how many statistics people show you, you really believe that “diet and exercise do work for some people to lose weight.”

Sure. But not many. And the ones who keep it off are so rare there’s actually a registry.

Look, just because you don't know anyone who has done this in real life, that doesn't mean they don't exist. It's honestly not that rare. Go out to where the fit, healthy people hang out and talk to them, listen to their experience. Some have kept weight off for years or even decades by making permanent changes for the better.

Is it that hard to imagine there are lots of people who have lost weight and never bothered to sign themselves up for a registry?

I think all the people saying it can't be done want to be right because they want to have a justification to take the meds. They are in denial that anyone else could make positive, impactful lifestyle changes that are sustainable. Despite many success stories, including on this very forum.

But it makes them feel better to say it's impossible, no one has control over their fate of becoming obese, and there is nothing they can do about it except taking drugs.

Go ahead, show us some actual data that suggests the odds of permanent weight loss of 50 pounds or more are greater than, say, 10 percent.

I know actual people who have done this. They are not a part of any study. 10 percent is not that much if you are talking over 250 lbs.

Not the PP this PP is responding to, but I think this PP genuinely does not understand what a study is. I think she literally thinks that the people she knows represent public health.

There is nothing you can do about a lack of education this profound.

Please enlighten us on what caused the obesity rate in the US to more than double in recent years. It's great to be in the presence of such highly respected scholars here on dcum.

I think you literally lack the ability to understand academic discussion.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

You don't deserve to see the study because you guys are fat shamers.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

It's a myth.

https://www.nytimes.com/1999/05/25/health/95-regain-lost-weight-or-do-they.html

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

It's a myth.

https://www.nytimes.com/1999/05/25/health/95-regain-lost-weight-or-do-they.html

1999? Lol. Sure. That sounds like current and up-to-date information.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

It's a myth.

https://www.nytimes.com/1999/05/25/health/95-regain-lost-weight-or-do-they.html

1999? Lol. Sure. That sounds like current and up-to-date information.

+1
PP is a joke. Our biology has changed. 95% failure rate is a fact.

[Anonymous]

Pro Tip- If you don't abuse your body and gain tons of weight, you will never have to go on a diet!

[Anonymous]

Here is what actual scientists have to say.

https://www.nature.com/articles/d41586-022-04505-7

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

Nobody said it's going to be easy. You need to focus less on fad diets and more on committing to permanent changes in your diet and exercise routine.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

Nobody said it's going to be easy. You need to focus less on fad diets and more on committing to permanent changes in your diet and exercise routine.

Hello 1965. Welcome to 2022. A lot has changed since you learned anything new.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:For those who are confused.

The current message is “Eating healthy food and exercising make you healthy and leads to weight loss. If it doesn’t, you’re doing it wrong and need to try harder.”

The better message, and what we’re thankfully moving toward, is “Eating healthy food and exercising are great for your mobility and mental, cardiovascular and metabolic health. Keep doing it, even if it doesn’t lead to weight loss or maintenance. We have other tools that are better for weight loss if that’s what your goal is.”

No one is saying “Eating healthy food and exercising is stupid and pointless since it doesn’t help you lose weight long term. Try Ozempic instead.”

But this is the message people will hear, and want to hear.

Now you're just moving the goalposts. You'll agree no one is saying it, but now people are hearing it anyway.

If they are, then there's nothing we can do about it, so I don't know what your point is.

1. The first (current) message is accurate for many people. They do need to try harder, sorry.

2. The second message is half right, but for many people, weight loss is the main goal of eating healthy and exercising. The second half of the message, that "other tools are better" is what is being debated. I think healthy food and exercise are still far better than drugs if they work for you. The problem is that many people, once they hear there is a miracle drug, will abandon their healthy food and exercise efforts.

Is there "nothing we can do about it?" We can promote the drugs as a last resort when diet and exercise fails. Not as a solution for chubby middle schoolers, I mean really!

Diet and exercise has failed though. It has failed unequivocally and disastrously.

Diet and exercise hasn't failed. You (Americans) have failed to put reasonable amounts of healthy foods in your mouth. And you have failed to exercise on a regular basis. You are doing things that are adversely affecting your health.

Like numerous people have already said, it's not some external stimuli or change in your DNA that is causing obesity. Stop being a victim and get out there and get it!

95% of people who lose weight by dieting gain it back. Do you think the problem is just that they haven’t read your post yet? Or could it be that telling people to “go out and get it” is not actually an effective way to help them lose weight

Where are you getting 95%? I don't believe that.

I pulled it out of my ass.

The oft-cited number is 90%. Eg: https://healthblog.uofmhealth.org/health-management/weighing-facts-tough-truth-about-weight-loss

But I wouldn’t be surprised if it’s higher over a person’s whole lifetime

Nobody said it's going to be easy. You need to focus less on fad diets and more on committing to permanent changes in your diet and exercise routine.

Hello 1965. Welcome to 2022. A lot has changed since you learned anything new.

Yes, a lot has changed indeed! The Obesity rate has trippled!!! Have the rocket scientists come to a conclusion on causation of obesity?

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Anonymous wrote:The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding.

I don't have a problem with people taking the drugs who need them.

I am concerned with the [b]idea that we should encourage people to eat whatever and however much they want[b] (because there is "no evidence" that telling them to eat healthy and exercise does any good). Then, when they eat their way to obesity, "don't worry, there's a drug for that."

Are the people encouraging this in the room right now?

Literally no one is saying this or doing this. You have completely made that up. You know there are benefits to health-seeking behaviors like eating a nutritious varied diet with limited processed foods and exercising even if they don’t lead to permanent weight loss, right?

Yes, but encouraging people to exercise personal accountability by eating healthy foods for their health is seen as "fat shaming" on this board, bizarrely.

I am a fat person on Ozempic. I don't like being fat and I don't accuse others of fat shaming. However, I am surprised that people still think they are telling me something new when they talk about healthy eating etc. I've heard it all before, I lost weight countless times, I worked with numerous trainers, I very well aware of how much calories various foods have. I am sure some young people don't know that stuff but everyone over 25 who has struggled with weight pretty much all info they will ever need.

Yep. I guarantee I know more about nutrition than 90% of the population. I have done it ALL. My metabolism sucks, I've been overweight since I was a healthy, active 12 year old. Yes I am capable of being thinner than I am currently, but for me and my body it's practically a full time job to keep my diet as rigid as it needs to be. Who gaf if some medicine makes that job a little easier for me?

If someone is taking ozempic and also eating a terrible diet and not exercising, they will suffer health consequences. That is also true about someone who is naturally thin who does those things. And believe me, plenty of naturally thin people eat like garbage - I'm married to one. These are separate issues.

So that is great, you both are examples of people who are benefitting from the drug and need it because diet and exercise have not worked.

But that doesn't change the fact that diet and exercise do work for some people to lose weight. And they are good for you for other health reasons, as stated above. So the message should still be diet and exercise, and if that doesn't work, look into drugs or surgery as a last resort.

You run into walls recreationally, don’t you? It doesn’t matter how many statistics people show you, you really believe that “diet and exercise do work for some people to lose weight.”

Sure. But not many. And the ones who keep it off are so rare there’s actually a registry.

Look, just because you don't know anyone who has done this in real life, that doesn't mean they don't exist. It's honestly not that rare. Go out to where the fit, healthy people hang out and talk to them, listen to their experience. Some have kept weight off for years or even decades by making permanent changes for the better.

Is it that hard to imagine there are lots of people who have lost weight and never bothered to sign themselves up for a registry?

I think all the people saying it can't be done want to be right because they want to have a justification to take the meds. They are in denial that anyone else could make positive, impactful lifestyle changes that are sustainable. Despite many success stories, including on this very forum.

But it makes them feel better to say it's impossible, no one has control over their fate of becoming obese, and there is nothing they can do about it except taking drugs.

+ 1. I actually know several people that lost a lot of weight and kept it off. Maybe not 100 lbs - I recognize that’s more complicated. The medications have a place but they’re not the only solution.

[Anonymous]

I looked into it. Lots of people seem to have nausea, stomach pain, diarrhea or constipation with it and then there are riskier but less common side effects on major organs (pancreas, kidney, gall bladder) and some vision effects.

Not worth it for me. I don't mind being fat enough to feel sick everyday and risk the health of my organs. I am not too fat to function and am in good health at this point.