Doctors used to believe in leeches and bloodletting. They just follow whatever the mainstream is.
All the research actually in the field is showing more and more that human adiposity is correlated with some ill-health effects but not causatively linked.
Research also shows that weight-loss interventions are very rarely successful, and even the most optimistic weight-loss intervention leads to, at best, the loss of a few pounds over long terms.
And, again, we are using weight as a totally arbitrary marker for health with very little real evidence that it is in any way meaningful. We know that at real extremes there are health hazards posed by high adiposity and low adiposity, but most people fall into a perfectly healthy weight, even if their BMI classifies them as obese. Of course, BMI categories are also totally arbitrary, it’s basically the IQ of dietetics.
There is so much bunk science in dietetics, it’s unbelievable. It’s like the modern version of scientific racism. In a couple of centuries I imagine humans will look back on us like “how did you ever believe this shit”
Eating an appropriate diet isn’t unhealthy, but I don’t think you are using the word “diet” in that sense. Weight loss drugs, like any other drug, should be prescribed carefully with great deliberation, after informing the patient and weighing with them the positives against the negatives. Like any other intervention it needn’t be inherently unhealthy, but I don’t think blanket usage of high dose GLP-1 receptor agonists is a good idea.
Accept your body as it is.
I disagree, we shouldn’t accept metabolically unhealthy states as normal.
And, again, we are using weight as a totally arbitrary marker for health with very little real evidence that it is in any way meaningful.
Waist circumference to height is a better marker.
There is so much bunk science in dietetics, it’s unbelievable.
It’s all epidemiology. That’s the unbelievable part of it, there’s no science in nutrition.
Uh I’m with you on the weight loss drugs being a sham shortcut. But you’re claiming that having self control and eating within your TDEE to manage your weight is an unnecessary lie? That’s just basic self control. Having control over your weight unlocks a higher quality of life.
We are physical matter affected by gravity. Having a smaller concentration of physical matter lessens the negative effects of gravity on our bodies. Increasing our physical mass puts more strain on every part of our body and leads to many well researched and documented health problems.
There are millions of people who have successfully taken back control of their weight through self control. It takes lifestyle change and continuous motivation. It’s not easy, many fail, not because the process is broken, but because the process is difficult and cannot be shortcutted.
We are physical matter affected by gravity. Having a smaller concentration of physical matter lessens the negative effects of gravity on our bodies. Increasing our physical mass puts more strain on every part of our body and leads to many well researched and documented health problems.
It’s also possible to look thin and yet be unhealthy at the same time. These people are known as being Thin Outside, Fat Inside, and have a lot of visceral fat.
Self control
This is nuanced but generally speaking an obese person does not want to be obese, if only because it feels terrible. They know they are in bad shape. There is no way to not be aware of chronic inflammation, skin issues, joint pain, and poor organ function.
They may look like they have a lack of self control to you, but telling them to “just get more self control” doesn’t help with anything. Perpetuating the idea that they are obese because they can’t control their own habits is reductionist. The process is indeed difficult, but it’s not because of lack of trying. It’s not always possible to overcome pathology with mental fortitude.
I don’t think that they want to be obese, I think that they have an addiction which is making it extremely difficult to make changes. At the end of the day, it is self control. I don’t think it’s easy though.
Eh…. I’ve read that these drugs also help addictions. They turn off the receptors that tell people they need (insert addiction thing), to the point they no longer have an addiction.
As someone who is a health weight, but has constant food noise in my head, I’d love to get rid of that.
My partner takes one of these medications. It was life changing for them because they gained weight due to other medications. And it is likely they’d never loose it without that type of help.
What should be mandatory with a weight loss prescriptions is some other help. Food therapist for people who have eating disorders; dietician to coach people about how to make healthy choices, or what healthy food actually looks like. And even a gym coach. Because I’ve also read that lifting weights help offset the problem of people loosing muscle on the weight loss drugs.
I worry about this very thing. My partner was also a healthy weight until medications were necessary, and those meds automatically had them gain 20lbs. They might choose ice cream or a cookie for dinner instead of something actually healthy. And they won’t be hungry for anything else.
They never grew up with health education to teach them what is good for you and what is not. Weight loss drugs were prescribed without any other interventions. Without changing behaviors or education, this is a very real thing.
It’s ok to want a treat, but people on these drugs need to take extra care to ensure they are getting all the nutrients needed.
Dieting and weight-loss drugs are unhealthy. Accept your body as it is.
If you want to be healthy, just find some kind of activity that you enjoy and do it regularly.
Capitalism thrives on making us feel inadequate or shameful, so we need to buy solutions, when the real solution is self-acceptance.
I’ll trust my doctor for medical advise, thanks though.
Doctors used to believe in leeches and bloodletting. They just follow whatever the mainstream is.
All the research actually in the field is showing more and more that human adiposity is correlated with some ill-health effects but not causatively linked.
Research also shows that weight-loss interventions are very rarely successful, and even the most optimistic weight-loss intervention leads to, at best, the loss of a few pounds over long terms.
And, again, we are using weight as a totally arbitrary marker for health with very little real evidence that it is in any way meaningful. We know that at real extremes there are health hazards posed by high adiposity and low adiposity, but most people fall into a perfectly healthy weight, even if their BMI classifies them as obese. Of course, BMI categories are also totally arbitrary, it’s basically the IQ of dietetics.
There is so much bunk science in dietetics, it’s unbelievable. It’s like the modern version of scientific racism. In a couple of centuries I imagine humans will look back on us like “how did you ever believe this shit”
Eating an appropriate diet isn’t unhealthy, but I don’t think you are using the word “diet” in that sense. Weight loss drugs, like any other drug, should be prescribed carefully with great deliberation, after informing the patient and weighing with them the positives against the negatives. Like any other intervention it needn’t be inherently unhealthy, but I don’t think blanket usage of high dose GLP-1 receptor agonists is a good idea.
I disagree, we shouldn’t accept metabolically unhealthy states as normal.
Waist circumference to height is a better marker.
It’s all epidemiology. That’s the unbelievable part of it, there’s no science in nutrition.
Uh I’m with you on the weight loss drugs being a sham shortcut. But you’re claiming that having self control and eating within your TDEE to manage your weight is an unnecessary lie? That’s just basic self control. Having control over your weight unlocks a higher quality of life.
We are physical matter affected by gravity. Having a smaller concentration of physical matter lessens the negative effects of gravity on our bodies. Increasing our physical mass puts more strain on every part of our body and leads to many well researched and documented health problems.
There are millions of people who have successfully taken back control of their weight through self control. It takes lifestyle change and continuous motivation. It’s not easy, many fail, not because the process is broken, but because the process is difficult and cannot be shortcutted.
It’s also possible to look thin and yet be unhealthy at the same time. These people are known as being Thin Outside, Fat Inside, and have a lot of visceral fat.
This is nuanced but generally speaking an obese person does not want to be obese, if only because it feels terrible. They know they are in bad shape. There is no way to not be aware of chronic inflammation, skin issues, joint pain, and poor organ function.
They may look like they have a lack of self control to you, but telling them to “just get more self control” doesn’t help with anything. Perpetuating the idea that they are obese because they can’t control their own habits is reductionist. The process is indeed difficult, but it’s not because of lack of trying. It’s not always possible to overcome pathology with mental fortitude.
I don’t think that they want to be obese, I think that they have an addiction which is making it extremely difficult to make changes. At the end of the day, it is self control. I don’t think it’s easy though.
Eh…. I’ve read that these drugs also help addictions. They turn off the receptors that tell people they need (insert addiction thing), to the point they no longer have an addiction.
As someone who is a health weight, but has constant food noise in my head, I’d love to get rid of that.
My partner takes one of these medications. It was life changing for them because they gained weight due to other medications. And it is likely they’d never loose it without that type of help.
What should be mandatory with a weight loss prescriptions is some other help. Food therapist for people who have eating disorders; dietician to coach people about how to make healthy choices, or what healthy food actually looks like. And even a gym coach. Because I’ve also read that lifting weights help offset the problem of people loosing muscle on the weight loss drugs.
I worry about this very thing. My partner was also a healthy weight until medications were necessary, and those meds automatically had them gain 20lbs. They might choose ice cream or a cookie for dinner instead of something actually healthy. And they won’t be hungry for anything else.
They never grew up with health education to teach them what is good for you and what is not. Weight loss drugs were prescribed without any other interventions. Without changing behaviors or education, this is a very real thing.
It’s ok to want a treat, but people on these drugs need to take extra care to ensure they are getting all the nutrients needed.