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What people want is the magic pill that they take once and they look like Cindy Crawford at 26 years old forever.
There are the structural things - removing parts of the intestine, installing restrictive bands around the stomach. One they haven't talked about much that would probably work if we had the knowledge and bravery to try it would be physical modification of the brain, either by ablation or slightly less risky with neurostimulation (deep brain stimulation)...
https://karger.com/sfn/article-abstract/100/2/75/826710/Effectiveness-of-Deep-Brain-Stimulation-in
Both of them require a surgery and can have HUGE complications. Oh yeah and they are not a permanent solution, just as ozempic they just help to start developing better habits, you will regain weight after sometime if you don't keep a better diet even with these procedures
Agreed. What most people don't realize is that meds can, and do, have HUGE complications too.
Agreed. The structural solutions, including brain stim, give a significant period of opportunity for learning better habits - for people who actually want to lose the weight and keep it off it can get them "over the hump" into a pattern that doesn't relapse. Just like opiate addiction, there are things that take significant time for your body/mind to get out of the habit with food, and any addictive behavior really.
Of course if you're determined to live a life of gluttony, these things are all temporary - even more temporary than life itself.
You could just not assume that? It's not about determination, as you said, it is an addiction. The root cause is not a food addiction, we literally need food to survive, but that root cause is different for every person and unless you are that same person you just don't assume shit about intentions or determination.
There's a large grey area between determination and uncontrollable addiction.
Very true. Some "diet aides" work well, some help a little, most barely work at all. Then there's the influence of environment - how likely a gambling addict is to relapse can be strongly influenced by whether they live in Las Vegas or Salt Lake City. Heroin addicts in Seattle have a much harder time kicking the habit there than in Atlanta.
As for food, do you eat socially? In restaurants? My wife and I have started taking the "Senior Citizens' discount" on restaurant food by simply ordering one entree and sharing it instead of overstuffing ourselves on separate dishes.
All these factors come into play, and still some people in the US are avoiding obesity, but not many - and IMO that's down to the food / social / economic environment we live in here - it's not healthy, but it is good for the medical business.