In fairness, there are plenty of conditions and imbalances that can cause weight gain besides "eating in excess"

>don't encroach on my economy airline seat

The things are so damn small that's going to happen regardless. They're not designed for big people (even healthy weighted ones)

I eventually got a better doctor and a dietitian and lost 50 lbs by changing my macros to focus on getting enough protein, fat, and fiber, which finally curbed my hunger, and wouldn't you know it, my feet feel better.

GLP-1 drugs have basically thrown out the idiotic idea that people were fat because they were sloths or gluttons. Our genetic and epigenetic predispositions very obviously played a huge role in whether on not people became obese. Body positivity was a reasonable coping mechanism for folks who drew the short straw at birth or in youth, and would never be able to have the beauty our society holds above almost everything.

Not we have a drug that fixes these predispositions. Yay! It’s basically the equivalent of “teeth positivity” going away after the advent of braces. The point was about helping people cope in an uncaring world… and then there not needing a coping mechanism after the problem people were coping with gets solved.

Sure we would. James Bond movies? Frat parties?

Most people are not like this. They can lift weights and benefit from a stronger body without looking any different.

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 if people stopped killing themselves in their 60s and 70s, we'd have gobs of people living until their 80s and the cost for dementia and Cancer Care would be ginormous.

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”.