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You can’t outwork a bad diet.

Exercise all you want, but for most people, if you eat garbage food in large quantities, you will be overweight.

I am exactly the same, btw. Most of my family was overweight when I was growing up. I was a fat kid, all the way through high school. Since then, I have been exercising consistently for 40+ years. Lifting weights, bicycling, walking every day, etc. But I still need to not just eat everything I want or I will gain weight. I try to avoid junk food, fast food, eating out, MOST days. Personally, I do one “cheat day” per week (see Tim Ferris’ Slow Carb diet for roughly the idea, although I’m not militant about the foods he says are ok, etc.).

I’m around 20% bodyfat at 5’10” in my early 60s, so I could use to drop 5-10 pounds of fat. What boggles my mind is that everyone says I’m crazy to think I need to lose ANY weight. I’ve got clearly visible fat around my middle and other areas, even if I’m not “technically obese”. I don’t look great in most clothes. But compared to the typical person (my age or not), people think I’m in great shape.

I wouldn’t say what I do is incredibly hard. But it’s also not just “do whatever you want all the time”.


> You can’t outwork a bad diet.

I completely agree.

> I wouldn’t say what I do is incredibly hard. But it’s also not just “do whatever you want all the time”.

I think the difficulty varies from person to person a lot more than people realize. We all end up making decisions between what we want to eat and what we think we should eat, but the level of deprivation people feel when they forego the tasty option for the healthy option seems to vary.

I think we eat similarly, and it's not incredibly hard for me, but I think it's much harder for some people.


I wouldn’t say people are writing off “eliminating obesity as something purely cosmetic”. Being obese is way worse than just a cosmetic issue.

But a world where literally millions of people are on a “lifetime drug” to reduce their bodyweight seems to be exactly what the big pharmaceutical companies are hoping for. They will make tens of billions of dollars every year if this is the case. Hell, there are endless commercials where middlemen (e.g., Ro) are hyping these drugs, telling you they can get you prescriptions, etc. If there wasn’t HUGE money in it, this wouldn’t be the case.

Yes, there are some people who have medical conditions that make weight loss very difficult. And these drugs can be a literal lifesaver for them. But for every one of them, there are dozens and dozens (or more) who simply make bad choices about food and exercise. Things that, if changed, would lead to a lifetime of improved health without any of the concerns or side effects of taking a drug forever. Our culture seems to be evolving to where it’s perfectly acceptable to translate “this is not easy” to “I can’t possibly be expected to do this, no matter how good it would be for me."

I’ve been accused of “hating fat people” for this take, but it’s the furthest thing from the truth. I encourage people to actually change their lives in a sustainable, healthy way, because I care about them. It’s not about shaming them.

Can you be “healthi-ER” taking these drugs than if you don’t exercise and eat too much and too many awful foods? Sure. But I’d prefer to see them EVEN healthier by treating their bodies better in every single case where that’s possible.


> But a world where literally millions of people are on a “lifetime drug” to reduce their bodyweight seems to be exactly what the big pharmaceutical companies are hoping for. They will make tens of billions of dollars every year if this is the case.

They (and other elements of our healthcare industry) already make a lot more than that on treating the side effects of widespread obesity.


>They (and other elements of our healthcare industry) already make a lot more than that on treating the side effects of widespread obesity.

This raises a thought I hadn't considered before: given how much money gets made off of obese people, it wouldn't be surprising if there would be significant commercial interests that would want to try to actively hamper anything that'd systematically reduce the overall population percentage of obesity. We've seen plenty of examples in the past (and ongoing) of perverse incentives. In turn, I wonder if it's actually a small silver lining that the drugs are so wildly profitable for the short term, in that the producers are incentivized to lobby against any efforts to legally hobble them. And then in the longer term it will all go off patent.



You also have to remember that not everything is a conspiracy.

Just because someone is making a boatload on a problem existing doesn't mean someone else doesn't want to make a truckload undercutting that business, even if the first business might try to stop it, well, sometimes a different set of bad guys wins.


In happyland im sure everyone would eat lean high protein meals and squat their bodyweight 3x a week, but that isnt reality.

The amount of mental and physical effort required to lose and maintain weighloss is absolutely not commensurate with what the average non-obese person needs to feel and do. Anyone that has lost considerable amount of weight will tell you this. In addition to that, the long term efficacy of lifestyle adjustments w.r.t weight loss hovers around 20%. Once you have had the fat in your body, your hormonal profile is forever changed. Those fat cells sit and make "FEED ME" hormones until they are lysed, which can take between 2 and 10 years.


That's the worst attitude I've ever heard. I feel like you work for a pharma. If I google your name will I find that you do. It's weird unbalanced position you take. You put words into people's arguments. Your account was recently created. This sounds like pharma PR.


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