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Even when the science is there about hormonal deficiencies that shows that a high percentage of people never feel satiated due to a specific hormonal deficiency that can now be addressed, people still want to shame the obese with moralistic lectures.

That’s nonsense. Fat people never want to take responsibility for their weight. That’s part of the problem. Never in human history have people been this fat. It’s not a genetic disorder. It’s people eating too much garbage food that is high in calories and is extremely unhealthy because they’re too lazy to cook and/or don’t care about the long-term damage they’re doing to their health because they want to pig out right now.

People didn’t magically develop this hormonal condition in the past 30 years.

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FTR, taking this medication has been a life saver for me and my hereditary esophageal issues that were ruining my quality of life. Having to puke every time I take a bite of solid food is a real drag . Being satiated on a protein shake and being able to function at a high level on half the calories is just the blessing my GI tract needed and keeps me out of the emergency room and GI office.

Well you seem to have other issues and maybe you would be a good candidate for something like this.

Having said that, I’ve been overweight before. When you restrict calories to lose weight, you will be hungry at times. You have to deal with being hungry for a while as your body adjusts. Your body will get the message, and you will eventually not get hungry like you used to. Drink some water and don’t give in, and it will pass. And I’m not saying people should starve themselves. But they don’t need to reach for the Doritos every time they get a little hungry. You will eventually stop getting hungry as much once your body adjusts to your new way of eating.

Having said that, maybe you actually do have a genetic condition. I don’t know. But for the vast majority of people, they just eat too much and don’t move enough and aren’t willing to do a little bit of work to help themselves.