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Culture War Roundup for the week of July 7, 2025

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I'm not kidding here, we genuinely are rather unsure about the mechanism of action. Most of the commonly advanced suggestions were found to be wrong or inadequate at best.

I know, which is why I've resisted the blandishments of doctors trying to sell this to me. I know I'd be one of the patients who didn't stick to the stringent lifestyle changes you have to make along with the surgery, and I'd be one of the ones who over-eat to the extent of bursting the sleeve.

Trying to fill yourself with low calorie food is an approach known as "volumetrics", and it works okay.

I don't think just drinking water would work as well, because you'd need an uncomfortable amount to fill your stomach, and the body would quickly realize that it's just water, without calories.

Oh, I've tried the fibre tablets thing - eat this tablet before a meal, drink water, it'll swell up inside your stomach and make you feel full and you'll eat less. Never worked for me because I never got the "feeling full" bit even after taking more than the recommended dose (luckily, I think/hope eating too much fibre is not a bad thing as such).

I know, which is why I've resisted the blandishments of doctors trying to sell this to me. I know I'd be one of the patients who didn't stick to the stringent lifestyle changes you have to make along with the surgery, and I'd be one of the ones who over-eat to the extent of bursting the sleeve.

https://pubmed.ncbi.nlm.nih.gov/18586571/

Those high in dietary adherence had lost 4.5% more weight at postoperative week 92 than those low in dietary adherence.

In other words, it doesn't really matter if you're a good boy/girl and listen to your doctors after you've had most of your stomach removed. Of course, bariatric surgery isn't a truly permanent solution, weight tends to come back after several years, but it was a good option before Ozempic made it somewhat obsolete.