Reply to Will Ozempic and other drugs like it eliminate obesity?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]NP with no skin in the game who hasn’t thought much about this. I’ve read every page and I have to admit no one has provided any evidence that diet and exercise is an effective weight loss strategy. Your smokingest guns are “I know people who have lost weight” and “Look at Jennifer Hudson”

I’m more inclined to believe the “diet and exercise isn’t helping us be less fat” as they seem to have at least some science on their side…and it is true that public health messaging has been pushing diet and exercise for like 40 years and obesity is just getting worse. It makes sense to move away from that and try something else. [/quote]

Diet and exercise absolutely do work when used long term to prevent becoming overweight or to lose small amounts of weight.  The problem is the average person doesn’t implement any semblance of a heathy diet and doesn’t exercise, therefore the average person is now overweight or obese. So I guess we are at a point in society where the average person will eat garbage day in day out until they are are fat enough to be obese and have weight related health problems, then they get a script for meds to lose some pounds.  I mean, I guess this is better than remaining obese forever for the people that can actually get a script, but this isn’t an awesome way to live either.  [/quote]

It's not really a secret what is going on here.

Every fat person I know says that they have "tried everything." They show up to work with a massive Big Gulp of Mountain Dew. They get a large meat lovers pizza for lunch. Work out today? Nahhh, maybe tomorrow. And the next day they hit up McDonalds for a large value meal. Too lazy to walk inside so they sit in the drive thru line that is wrapped around the building. If these people are "trying" to lose weight, it's a half ass effort at best.  [/quote]

OMG you are a fool. I don't drink soda or eat large pizzas.  I work out, I'm actually very strong. But I'm still overweight (not obese, just firmly overweight).  Every plan I've tried wants me to eat 1200 calories.  I'm only 5'0". Its not sustainable long term.

It's difficult. I don't begrudge anyone who uses medication to assist them with maintaining the loss. I wish them all long term success.

- NP[/quote]

Workout for 30 minutes to burn 300 calories and eat 1,500. That's sustainable.[/quote]

It’s not. My body would not tolerate only 1200 calories per day. I’d be too hungry. [/quote]

I'm saying you can increase the calories you eat if you burn calories. You said you need to limit calories to 1200 to lose weight (please check into that because I have a normal BMI and can lose on higher calories) and 1200 is too low. I agree that 1200 is low. You can eat higher calories if you burn more. The example was in 30 minutes you can burn 300 calories. That changes your 1200 to 1500. If you make it 60 minutes and burn 500 calories you can eat 1700. You body is still at the 1200 limit you need to lose, but you are eating more.[/quote]

It’s still a net 1200 calories either way. 1200 calories is not enough for my body to exist on without upregulating hunger and downregulating energy expenditure. The hunger is not sustainable. [/quote]

I think hunger can be down-regulated.  I used to wake up famished every morning.  If I didn't eat, I started feeling nauseous.  I could not relate at all to people who "just weren't hungry in the morning."

But after gaining some weight, I decided to try IF.  I joined the Dr. Fung FB group (if you want to see real success stories, there is an abundance of photo evidence in posts there).  I stopped eating breakfast. It was so hard at first and I had to use coffee with cream to tide myself over.  But eventually it got better, and now I am one of those people who drinks only black coffee and doesn't eat until lunch.  And I don't feel hungry!  And yes, I work out in the morning in a fasting state before I go to work, and yet I still don't get hungry until lunch time or even later.

I am 5 foot 2 and weight about 120 lbs.  I don't count calories, but I wait until lunch and I eat a normal size lunch and dinner, then stop eating by about 7pm.  This has been enough for me to lose and maintain at this weight, in my mid-40s.  I don't even do some of the longer, more drastic fasts, but even this daily time restricted eating is working for me.[/quote]

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