• papertowels@lemmy.one
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    8 months ago

    Lose weight often IS the cure-all as obesity is clearly linked to a litany of health issues.

    Do you want to treat the symptom or the cause? Folks can take pain killers for their knees, but the issue here is often that the knees are overloaded with too much weight.

    Idk much about ozempic, but before that, “Lose weight” was rough to hear because a doctor can’t wave a magic wand to fix the patients problems - the patient had to work to fix things. And if you’re honestly putting in the work, eating a healthy diet and exercising and you’re still struggling with weight, then I feel for you, because that suggests there’s a hormonal or other medical cause for the obesity, that the doc needs to go over. However I am certain that the majority of the hundreds of millions of people you cite don’t.

    • ChexMax@lemmy.world
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      8 months ago

      Studies show there isn’t an actual diet people can go on to lose weight and keep it off. The diet just doesn’t exist for the vast majority of people. People gain the weight back almost 100% of the time. The only thing you can do is prevent the weight gain in the first place, which isn’t that simple given our lack of walkable cities, cheap food being the least healthy etc

      Given how seriously bad doctors say obesity is, I don’t understand why people are mad at fat people for taking ozempic.

      Another thing to be mad about: the most expensive component of the ozempic shots is the plastic container it comes in.

      • papertowels@lemmy.one
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        8 months ago

        I’d appreciate it if you can link some examples of those studies.

        When I say “eat a healthy diet”, I don’t mean go on keto. I mean have some fruits and vegetables, and try to limit processed food intake.

        EDIT: like I said, I don’t know much about ozempic so I have nothing to contribute to that end of the conversation, sorry.

        • ChexMax@lemmy.world
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          8 months ago

          Two studies (each reviewing a number of other studies) and an article putting it in lay terms:

          "He and others have estimated that for every two pounds of weight you lose, your metabolism slows by about 25 calories per day, and your appetite increases by about 95 calories per day. So in other words, if you lose 20 pounds, your body will burn roughly 250 calories less each day while craving about 950 calories more.

          To maintain your weight loss through dieting over time, you’ll have to continue eating less while resisting a rising appetite and slower metabolism, which is “increasingly difficult,” Dr. Schur said.

          The drive to eat more is so strong because our brains “sense that our energy stores are being depleted,” she added, and “that’s a threat to our survival.”"

          So diets mostly all work in the short term, but people just return to their top weight over time. Your body is always trying to get you back to your top weight.

          https://pubmed.ncbi.nlm.nih.gov/32238384/

          https://onlinelibrary.wiley.com/doi/abs/10.1111/obr.12949

          https://www.nytimes.com/2024/01/11/well/eat/dieting-weight-loss.html

      • SanndyTheManndy@lemmy.world
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        8 months ago

        Such a diet exists. It’s called eating less meat and sugar.

        And don’t get me started on only unhealthy junk being cheap. Not only have all fast food chains hiked up their prices to near uncompetitive levels, but even fruit and veggies are dirt cheap in America. Europeans pay far more, especially when comparing PPP, than Americans, when it comes to healthy eating. Yet they manage.

        • CaptSneeze@lemmy.world
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          8 months ago

          I’m interested that you suggested “less meat and sugar”. I don’t think I’ve seen anyone claim protein to be a major contributor to obesity in the last 40 years. I usually see sugars and carbs as the main culprits. Is there some new info I should read about?

          I (luckily) have always had my weight and nutrition under good control, so I’m more interested for the sake of knowledge.

          • SanndyTheManndy@lemmy.world
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            8 months ago

            Meat is just so calorie dense that even switching to carbs is a massive upgrade.

            The carbs they talk about are simple carbs, with high glycemic indexes. Something like whole wheat is going to be a lot healthier for your health than white rice.

            Meat may also promote consumption of alcohol, which isn’t great for weight loss.

            • Fushuan [he/him]@lemm.ee
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              8 months ago

              Your last point, that’s not true at all. I can very easily drink alcohol with zero meat, just any other food will do.

              Some meat is good for your health tbh, turkey york slices are pretty fucking healthy proteinwise and don’t have much calories. If you want to lose weight fat and cereal are the first two that have to go. You can use some oil and eat some pasta once in a while, but given how caloric intense it is if you eat pasta you will just end up hungry, it fills the caloric budget way too fast. Whole cereals are indeed healthier than white rice and couscous mostly due to the river they have, but the calories per 100g will vary from 300 to 350 or so, it’s still pretty expensive on the budget.