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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]self-control. People like people that have self-control and self-regulation. [/quote]

This. I am embarrased for anyone using these drugs for weightloss. How about you learn to exercise and not stuff your mouth full of processed garbage?[/quote]

Because some people are genetically predisposed to being fatter or having bigger body types. Unfortunately, we are forced to believe that weight loss is easy for EVERYONE and it's this one size fits all, cookie cutter remedy of cutting calories and increasing activity. This is not possible for some people because I'm order for their body to function optimally, they need to eat and not starve themselves. But nooo, we live in a world that tells us all that we have to be thin. They end up doing that by any means even if it compromises their health and well being. Thin above all else, right? Looking healthy trumps actual health measures at this point. [/quote]

See https://www.health.harvard.edu/blog/exercise-metabolism-and-weight-new-research-from-the-biggest-loser-202201272676

The painful truth is that the The Biggest Loser contestants metabolic rates dropped so much after their exercise routines and weight loss that it made it very difficult to keep the weight off. Their bodies fought against their weight loss.

There was a documentary about this.  Researchers studied some of the contestants who lost the most weight and kept it off for a bit.  Their bodies automatically made adjustments to store fat/maintain weight. The study found they had to continue with strenuous exercise to maintain the weight loss although recent studies say it doesn't help. One contestant who lost the most weight had to restrict himself to an 800 calorie per day diet to maintain the weight loss. Most of the contestants gained back 3/4ths of the weight.

It's confusing and contradictory but it can't be denied that peoples bodies often work against them. The adaptations the body makes to to slow down an individual's metabolic rate can undo everything. The insults about willpower aren't very helpful.

[b]As far as why Americans are fatter is probably related to our obesogenic environment. [/b]We push unhealthy food endlessly and have many roadblocks to healthy activity. Our attitudes towards work productivity/hours ensures many people don't have time.

[/quote]

Maybe.  I have a good friend who started on one of these (I think Zepbound?) several months ago.  I've spent a lot of time around her before and after.  She was overweight because she ate roughly double in terms of calories of what I do on a daily basis (we travel together a lot).  Lots of poor food choices.  Now with the drug the quantity has gone down but the poor choices remain.  I think if she doesn't stay on it she will likely regain the weight.  I think it would have been a good idea for her to listen to the nutritionist the doc  also recommended, but you can't really force people.[/quote]

That's your friends story but you are making a mistake assuming this is every overweight person in this country. My story is that I gained weight when I took a stressful job where I worked so much overtime, uncompensated btw,I worked with 2 nutritionists and a personal trainer and weighed and measured and recorded everything and the weight would not change. I worked out for 1-2 hours every day and studied nutrition and exercise. I did hiit. My weight did not budge. I went to an internist instead of my family doc for help. She talked to me about the reality of "set points" and how extreme I would have to be about calories. They did find another health issue but resolving/maintaining that did nothing. [/quote]
What did an average day of consumption of drink/ food vs exercise look like?[/quote]

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