Exercising is great, absolutely, but eating less is the actual primary method. While acknowledging complications of metabolism and psychology and weird states body goes through when it's hungry, primary part is to reduce calory intake vs expenditure.
So as snide and silly as it may be, in my neck of the woods, I would agree, lots of people don't believe eating less is the primary method of losing weight.
A bag of doritos is 200+ calories. The exercise involved to burn that off is running or walking multiple miles. It’s way easier in terms of physical expenditure to just not eat the doritos, or skip the sugary soda.
Not eating as much takes much less of your busy day.
Stuff you can do for a week doesn’t automatically extend to maintaining that over the next 50 years.
so long as you can live like a monk and hit the gym every night for a few months it's pretty good. this is dependent on you being able to stand being hungry and cranky and going to bed exhausted for all that time though
I was with a girl that barely ate, and couldn't get her weight down for about a decade because of that. Eventually she got really excited about a local dance studio and suddenly her weight dropped like a rock. She had to exercise more, but that was miserable until she found exercise that was effective and actually clicked, then it was trivial
Meanwhile it was trivial for me to eat less, because my budget should be around 1800 calories a day, and I was eating 3000. It's easy to cut out an entire bag of doritos. It is less easy to literally starve yourself.
People seem to forget as well that when you cut calories, your body will scream bloody murder until it re-adjusts. My body was convinced I was starving while I was 50 pounds overweight and eating 2000 calories because I had previously eaten more. Your body did not evolve in an environment where that was ever the wrong thing to feel! "Please eat more or we die" is one of the most powerful biological signals.
That these medications cut that signal is entirely why they work! If people just "couldn't stop eating" then not having hunger or appetite signals wouldn't have worked either.
When the body does not scream that murder, it is called anorexia. And it is much worst for your health then obesity.
As soon as the diet requires cutting out a daily meal or changing the contents of meals in really harsh ways (like no bread) it's going to get on your nerves and make you neurotic.
Average woman may have TDEE around 1800-2000, she can eat 1700-1600kcal comfortably.
You know that if i remove 150kcal from your diet, your wouldn't notice? that's like 2 slices of bread. So the hunger suppression will never be a question for vast majority of fat people
150kcal deficit over a year = 7.1kg or 15.6 lbs lost! and 300kcal = 31.2lbs or 14.2kg!! all this without any injection or drug without any exercise or severe loss of lean masss
I am sure that when I've lost weight it's more the portion control than the exercise - but the exercise is a critical component. When you go from being sedentary to doing even casual exercise you feel better and get more energy - which you can then use to be more active. Without some kind of virtuous lifestyle-change cycle you are likely not going to shift your body mass, kind of no matter what ultimately puts you over the edge.
Exercise can also absolutely increase base metabolic rate leading to weight loss; you still have to put up with a calorie deficit, which is the hardest part of losing weight, but you won't need to change your actual eating habits as much, which can make the social aspect easier.
None of this changes the basic thermodynamics and reality that to lose weight a calorie deficit is absolutely necessary and that calorie intake is by far the more significant lever available (compared to expenditure), of course -- but again, I personally basically never see anyone dispute this, whereas I regularly see people in the "just eat less, fatty" camp gloss over or misconstrue these nuances as though acknowledging them constitutes a denial of CICO in the strict sense.
It certainly works, it is just an unhelpful strategy.
Am I spending loads on unused subscriptions or take out each month? Maybe reduce it. Or, I'm pinching pennies and could benefit with polishing my resume'/gaining certificates and applying for better jobs for the next undefined period of time.
As with food. With the caveat that you are tracking calorie intake and burn, not "food" intake and burn, volume and 'fill' aren't 1:1
Fasting does too, for that matter.
Paleo is just trendy keto with some woo on top.
The don't use the same mechanism as glp, nor do they have same success rate, but similar idea.
Eliminating sugar makes it harder to consume a 64oz soda at 800 calories in 3 minutes and still be hungry.
Anywho, most diets achieve some weight-loss.
But! keeping your mind and body from demanding you eat more to return to homeostasis is actually the 2nd hard part, and the part that most people fail at. And we'll see how much glp losses are sustainable (without shots) here pretty soon.
Regardless, this technology is good and we should subsidize everyone getting to a healthy weight. Searching for reasons they are actually morally inferior or stupid is counterproductive.
Will we?
The idea is to be on them for life; I don't know that I've seen anyone recommend differently.
So maybe the goal is use the drugs to shift your lifestyle to eating less, having less food in the house, and being more active and then wean off it
I’ve lost weight many times, maintained the weight loss for long periods of time, but I’m just constantly hungry throughout. It never gets any easier. I’m physically just very hungry - my belly is constantly rumbling to the point that people comment on it, and I get the weird sizzling noise in the back of my neck. I’ll maintain this - for years sometimes - but eventually, like almost everyone who loses weight, something inevitably happens and I fall off the wagon.
I’m on the drugs now and all the grumbling and side effects of being hungry have gone away. Even the ones like being tired, getting sick all the time and having thinning wiry grey hair, which would happen in the past whenever I cut back food.
the lifestyle habit and stuff to me is eating the same thing every morning or getting used to falling asleep hungry, those kind of adjustments. doesn't mean you get less hungry eventually
and then if anything changes (move, new job, new friends start coming over more and you want to be social) you'll fall out of the habits naturally. you can only do it as long as you can do it
Deficit and hence suffering no longer applies; you continue eating at maintenance, which is very comfortable.
People who do keto, paleo, eliminating sugar, vegan or whatnot do this as a strategy for eating less, through a variety of mechanisms, generally some combination of attempting to stabilize blood sugar to forestay cravings, eating fewer meals, or eating less calorie dense foods (you have to eat a lot of vegetables to get fat!)
A deficit so small that most users won't even know that they are at deficit!
You know that if i remove 150kcal from your diet, your wouldn't notice? that's like 2 slices of bread. So the hunger suppression will never be a question for vast majority of fat people
150kcal deficit over a year = 7.1kg or 15.6 lbs lost! and 300kcal = 31.2lbs or 14.2kg!! all this without any injection or drug without any exercise or severe loss of lean masss
Don't underestimate how impossible it can be to force your own body into a new behavior pattern.