What I am trying to say is that someone might not be able to control their appetite, but they do have at least some control over the food they put in their body. I think that education on nutrition can go a much longer way for overall human health than appetite pills.
I am hardly unique in this. I would argue that to lose and keep off this kind of weight without chemical assistance (good fucking luck getting a doctor to help there) pretty much necessitates the development of an eating disorder. It takes over a significant portion of your life and is no fucking fun at all.
Give me an apatite pill any day.
[0] this is without even mentioning how difficult it is to find information on nutrition that isn't complete bullshit pushed by people selling fads.