There’s also a ton of psychological aspects that make keeping weight off harder. Your brain will literally self sabotage you repeatedly because humans are designed to gain and keep weight, not lose it.
Adding more exercise? Well that must mean we need to eat more! Eating less? Well obviously we’re starving, so now your brain will tell your body to move less. Lost weight for awhile? Clearly we need to slowly increase portion sizes over time.
Long term weight loss is a literally a struggle against yourself and your body does not want you to win.
You guys are talking about two different things. He says changing your diet is effective and it is.
The point was that the drugs help fight the effects of obesity by keeping weight off permanently. If dieting cannot do the same, then it isn’t effective at fighting that threat. Losing weight for 2 years and then relapsing isn’t all that helpful in fighting the long term health effects of obesity.
I mean there’s not really an alternative so long as Democrats don’t have any real power. It’s difficult to fight people who feel zero shame and also control most mass media outlets.