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Started By
Message
re: New diabetes medications prove the OT wrong, obesity is not always a choice
Posted on 9/7/23 at 8:44 am to BruslyTiger
Posted on 9/7/23 at 8:44 am to BruslyTiger
quote:
Found the fatty.
I am less of a fatty than 98% of TD posters.
1
Posted on 9/7/23 at 8:44 am to SG_Geaux
If you get blood work done to try and find out why you are gaining weight and everything comes back normal, then its simply because you are lazy and have a poor diet.
That isn’t a hard concept.
Likewise you can have a great diet and do everything right, but if you have hypothyroidism, you will have a hard time losing weight
That isn’t a hard concept.
Likewise you can have a great diet and do everything right, but if you have hypothyroidism, you will have a hard time losing weight
Posted on 9/7/23 at 8:44 am to WeeWee
Damn that's crazy that everyone caught the obesity disease right around the same time
Posted on 9/7/23 at 8:45 am to WeeWee
quote:
am less of a fatty than 98% of TD posters
You’re a lazy frick nonathlete which may be worse
Posted on 9/7/23 at 8:45 am to WaydownSouth
quote:
Likewise you can have a great diet and do everything right, but if you have hypothyroidism, you will have a hard time losing weight
If I pull up pictures of starving people freed from concentration camps, can you point out which ones have hypothyroidism?
Posted on 9/7/23 at 8:46 am to WeeWee
quote:
Some fatties are definitely fat because of their choices but others are not. So the OT experts who say that fatties are only fat because they choose to be are wrong.
Whatever makes you feel better. People are fat because they don't eat properly, don't exercise, and don't get enough sleep. By 2028 nearly 3 of 5 American Adults will be Obese. Its behavior/choices not anything else. Obesity is so prevalent we have made it normal the same way it is considered 'normal' to be on 4 or 5 prescription medications. That's absurd.
Posted on 9/7/23 at 8:48 am to WeeWee
quote:
Some fatties are definitely fat because of their choices but others are not. So the OT experts who say that fatties are only fat because they choose to be are wrong.
Or.... these drugs just make it easier to lose weight than having the willpower to do it the "right" way. I know several people in my life that are capable of losing weight on their own and have done so in the past who are having great results with these drugs. They could achieve the same results, albeit not as quickly.
Posted on 9/7/23 at 8:48 am to Huey Lewis
quote:
Obesity ruins a person's hormones.
Do you really believe this?
I was very healthy (farmer and athlete) when my thyroid crapped out. Such a small thing has an amazing ability to screw up the rest of your body.
Posted on 9/7/23 at 8:53 am to Jake88
quote:
This still demonstrates it's a willpower issue.
Sure but the fight isnt the same for everyone.
I just eat a few more salads a week and cut weight. Its easy. It helps Im pretty damn active, but even into my mid 30s, dont have to do much at all to maintain weight. Its probably not a coincidence my entire family, both sides, are thin.
I have friends, similarly active, who have to watch every single thing they eat.
So yeah, there's something to the chemistry bit I think. It just goes in part with the willpower to eat right and exercise.
Posted on 9/7/23 at 8:53 am to WeeWee
quote:
obesity is not always a choice
obviously
But it almost always is
Posted on 9/7/23 at 8:55 am to Jake88
quote:
This still demonstrates it's a willpower issue.
Exactly….the article states that it lowers the person’s appetite and makes them feel full. Both of these are feelings which control the person’s behavior (to over eat). It’s simply a drug to overcome one’s lack of willpower.
Posted on 9/7/23 at 8:55 am to DevilDagNS
quote:
So, its an appetite suppressant? How is this groundbreaking? You know what else is an appetite suppressant? Water. Also, wouldn't you get the same or similar result through ketosis wherein you limit your sugar/carb intake and force your body to use fat as its primary fuel source rather than glucose? I still fail to see how this is not primarily driven by lifestyle vs. chemestry.
Water only suppresses appetite for a short time. Drinking lots of water to suppress appetite in between meals is not a feasible solution for most people. If someone tries to drink enough water to suppress appetite enough to set a new set point they will end up having to urinate multiple times per hour and that will cause them to stop drinking that much water and they lose all the progress towards a new set point.
Ozempic and the other meds like it not only suppress appetite they also modify the chemistry in the brain that affects appetite. This affects the brain on the subconscious level which makes eating less easier. It not only affects the amount someone eats at meals but decreases the urge to eat in between meals.
Posted on 9/7/23 at 8:56 am to WeeWee
“isn’t so much about willpower: It’s about biology. ”
Coming from the same scientists who say “masks work.”
Coming from the same scientists who say “masks work.”
Posted on 9/7/23 at 8:59 am to WeeWee
quote:
Ozempic and similar drugs are transforming the world’s understanding of obesity. It isn’t so much about willpower: It’s about biology.
The success of the powerful new class of diabetes and weight-loss drugs shows how important chemistry is to determining a person’s weight. The brain is the body’s chief chemist, regulating appetite and making it difficult for many people to shed pounds and keep them off. The brain determines how much fat it wants people to carry, according to years of research bolstered by the new drugs.
Biology sure changes fast. My guess is that bad eating habits at a young age change your body chemistry and make losing weight harder as you age because you body is used to eating like shite.
Posted on 9/7/23 at 9:02 am to SG_Geaux
quote:
So if things you don't have direct control over are in check then it is a choice.
But you do have control over what you do once you find out those things "are not in check". There are things you can do to modify your diet and activity levels that would help someone's healthy. Therefore, there is a decision being made by either not looking for the true underlying cause and/or not adjusting accordingly.
Posted on 9/7/23 at 9:03 am to WeeWee
quote:
The new set point lasts as long as a patient is on the drug, they say.
I hope people are prepared to be on this drug for life because it sounds like as soon as you stop taking it you’ll be right back to square one and the weight will flood back.
Posted on 9/7/23 at 9:04 am to Dire Wolf
quote:
Biology sure changes fast. My guess is that bad eating habits at a young age change your body chemistry and make losing weight harder as you age because you body is used to eating like shite.
I’d be genuinely curious about the changes in food we consume from the 70s to now as well. As in, hidden sugars and other chemicals in processed food.
I don’t think it’s a simple answer. A lot of variables contribute to obesity in the US. If it was as easy as calories in/calories out, a lot less folks would struggle and there’d be a lot less diet companies that make ridiculous profits.
Posted on 9/7/23 at 9:04 am to WeeWee
quote:
Patients who ate a lot before they started taking one of the drugs feel less hungry and fill up more quickly—sometimes after one slice of pizza when they once ate the whole pie.
How about eating less pizza and eating more healthier foods.
Posted on 9/7/23 at 9:07 am to WaydownSouth
quote:
If you get blood work done to try and find out why you are gaining weight and everything comes back normal, then its simply because you are lazy and have a poor diet.
It's not that simple. Diet and exercise are key but genetics and body chemistry play a major role in how the body holds onto fat. Obese people who have been obese for years especially if they come from a family of obese people and especially women are expressing genes that promote holding onto fat. Their gene expression has to be modified before they can lose weight. I have had many patients who are religious about charting their food intake and exercise using apps for me to verify. Their diets are healthy, calorie output is greater than their calorie input, they have met with dietitians, personal trainers, etc, and are actually trying. However, these people still do not lose weight. I prescribed semaglutide and they started losing weight. Not only did they start losing weight but they are not hungry in between meals.
Posted on 9/7/23 at 9:09 am to JohnnyKilroy
quote:
Whatever helps yall fat pieces of shite sleep at night.
I think a better way to phrase it is that fat loss isn't just a function of calories. There are hormonal variables having nothing to do with intentional desire that steer not only how much our mind tells us to eat, but also how our body distributes the calories.
Peter Attia has been talking about this for a long time. Cortisol, for one example, can wreck fat loss programs.
The larger picture is just that fat loss is a more holistic paradigm than just decreasing calories and moving more. That is going to be a crucial kinetic component, by far the largest, but it's not the sole component.
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