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opinions aside, it is statistically easier to take a pill than change habits.

statistically speaking, people with a BMI > 40 live 6 years less, and BMI > 50 live 15 years less. For those people, the changes they need to make might be close to impossible.

And for everyone else, people aren't refusing, but their lifestyle might not support every healthy change.

That said, read "younger next year", fascinating book on what lifestyle your body is programmed to do and how to support it. (answer vigorous exercise 6-7 days a week with strength training)

I recently watched my elderly grandparent (>90) degrade and die in a hospital bed. The end was horrible. The lead up was terrible. And the years building up to that were miserable.

I remember thinking, "I would like to live less than that"

I care since I have known people to go on, drop some weight, can't sustain, gain weight back and it's worse due to poorer body comp.

It's sad.

This may turn out like an opioid level challenge.

Because they help those people stay thin. For some, that's enough.