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As much as I hate to intrude on another's discussion, I'm simply going to point at my own experience in terms of weight loss and shrug helplessly.
Like you, I was of a similar attitude. Like you, I felt the majority of weight-gain and weight-loss issues was a matter of people simply not wanting to put in the effort. I still do, to a point - too many people think a diet is like an on-off switch, when I've found it really boils down to actively changing how and what you eat - it's a lifestyle shift, not something you do for a month to fit into your summer bikini. And why not? I did exactly that. I lost 70 pounds from strict CICO and modifying my diet.
However.
I'm not going to go more indepth into my own history of weight loss and weight gain. Instead, I'm going to point to my brother, who has also done the entire weight-loss via keto. And while he was able to lose the weight, there was a plateau, a wall in terms of weight loss he was unable to get past before he simply gave up - the juice wasn't worth the squeeze in terms of the effort he was putting in.
Full disclaimer, he's never been an obese-looking butterball or as heavy as I am, though I'm sure if you put in his BMI stats he'd be labeled as obese.
On semaglutide, he blew through that wall in a few short months and is still loosing weight. He's currently at the weight he was in high school, and hasn't hit a plateau. If things continue as is, both he and I will be at weights we've never been before, ever, and have no idea what we will look like.
I'm no doctor, no medical expert or scientist. I am but a dabbling amateur, stumbling around and trying to piece together a picture of the world. And as time has gone by, I'm becoming more and more convinced that our modern diet has done extreme damage to our bodies, damage that some can adapt to and overcome, and others can't. That we are subject to the cruel tyranny of the flesh that our minds are unable to overcome, even when we fervently wish otherwise. We've learned our lesson, burned our fingers and become wise, but we still carry the scars that we can't fix by ourselves no matter how we wish otherwise.
So we use drugs. Problem solved.
...now, on the gripping hand, I also have experience similar to self_made_human where getting people to loose weight forces you to do the equivalent of making a recalcitrant dog take their medicine, no matter how much they hate it, cause, y'know, they'll die otherwise, but such is life.
I don't think you have accurately captured my attitude. In fact, I think you have gotten it completely wrong.
Perhaps so. Biological processes in general do not seem to be fully-reversible, especially when you include the effects of aging. Nevertheless, that is not an argument against the measurable physiological benefits of certain lifestyle changes.
So educate me, then. Because the phrase 'Changing your lifestyle does actually work; it's just that many people don't do it.' falls pretty well in line with what my attitude would have been a year or more ago.
It isn't meant to be. My point isn't 'lifestyle changes don't work' it's that 'lifestyle changes can sometimes only work to a point'.
You went wrong a single sentence later:
Possibly so. I'd need to see some high quality research on this question to know much either way, where those points might be, whether they can be predicted, etc.
...do you not equate the phrase 'it's just that many people don't do it.' to 'not wanting to put in the effort'? I would think them rather similar.
Compare what I wrote:
I don't know to what extent a clustering can be identified that can be simply labeled "not wanting to put in the effort".
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