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‘Breakthrough’ obesity drugs that have stunned researchers

nature.com

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Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#851

Earlier quoted context omitted.

> It’s so hard to eat healthy, I honestly cannot fathom how people do it. Learn to cook well so that eating out would result in lower quality meals compared to what you could make yourself. Once you're controlling what goes into your meals, instead of outsourcing it, that makes it easier to control portion sizes, how much fat/oils go into things (I've found that restaurant dishes have an absurd amount of fat in them…

There's a lot of words here so you took some time to write this. Who is it for? Why do you think this is a new/novel idea the person you are replying to, and others reading it, has/have not heard before?

I'll take a wild guess and say it's for those who "cannot fathom how people [eat healthy]."

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#852

I’m currently taking one of these drugs and it has been no less than a miracle in my life. I became obese when I was around 5, topping out around a 34 BMI. When I was 20 I lost a substantial amount of weight the old fashioned way (diet and exercise), and within 8 months I was BMI 23. Losing weight was extremely challenging and socially isolating. 7 years later, I had a bad ankle injury and regained weight to about 29…

Fat guy here: these side effects are pretty scary for somebody like me. 3 months of noticeably extra fatigue on top of my current baseline level of exhaustion seems to threaten serious psychological effects. 3 months of brain-fog sounds like a great way to get fired and really fuck up my life. If my "gastro situation" was noticeably worse than the unpredictable wildy-swinging nightmare it already is, I honestly have…

Time it properly. Pick the end of the year around December when things are slow. That knocks off a month. Save the vacation time to knock off 2 weeks in January. White knuckle it through February.

You have to try something.

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#853

> In the past, scientists and the public often thought that those with obesity simply lacked the willpower to lose weight. But evidence is growing that most people’s bodies have a natural size that can be hard to change. In the context where we have gone from obesity rates of 13 percent to 40, to suggest that people have a natural weight and that's the cause of this seems absurd to me.

For me it's 80KG. Once it goes over 80KG I would gradually feel all kinds of bad things so I'll start to lose weight, but then it's so easy to get back. I don't really think willpower helps here. I mean unless I can do it for the whole life, it will bounce back quickly.

This is me exactly. At 80 kg my thighs start bothering me when I sleep. Think 67-70 is my ideal.

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#854
I’m a skinny / athletic person. The reason is a doctor told my parents not to feed me any sugar until age 2-3, as fat cells are created up to that age. After that, they only change in size.

I don’t know if that’s a scientifically proven thing, but indeed i simply can not gain weight, whatever i eat. As if i had zero fat cells.

The only downside is that I’m often cold, which is of course far easier to manage. I’m not a water person though, as its nontrivial to “dress up” for swimming.

It’s a miracle, please spread it. The next generation could avoid the fatness problem alltogether.

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#855

Earlier quoted context omitted.

You haven't controlled for body weight changes though. Nobody doubts that diets (if adhered to) can reduce weight. So if biomarkers improve relative to an alternative diet, the question is it because A) the Med diet is more effective at weight loss, or B) the Med diet has benefits outside weight loss. The research you linked is interesting, but confounded by weight loss. Research that has directly tried to control fo…

You just forget that there might be side-effects showing up in the long-run that we simply don't know yet (and possibly), why the mediterrean diet has been tested for a few hundred years already (where "diet" means what we have access to and eat, and not a small subset of foods forced on us that relies on a lot of mental effort to follow)

The real problem is that we spend hundreds of billions advertising food.

If we spent 10% of what we spent on food advertising on large, well funded cohort studies, we'd be far better off as a species.

Humanity's greatest crime is how little science we fund.

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#856

I’m a skinny / athletic person. The reason is a doctor told my parents not to feed me any sugar until age 2-3, as fat cells are created up to that age. After that, they only change in size. I don’t know if that’s a scientifically proven thing, but indeed i simply can not gain weight, whatever i eat. As if i had zero fat cells. The only downside is that I’m often cold, which is of course far easier to manage. I’m not…

> The reason is a doctor told my parents not to feed me any sugar until age 2-3

What I take from this is that the actual reason is, "I had parents that were concerned enough with my nutrition to not feed me much sugar as a child, and those healthy eating habits probably didn't stop after age 2-3. I now cannot gain weight, even if I eat what I perceive as a lot of food (because I grew up eating healthy food and portion sizes)."

I was one of those "I can't gain weight/put on muscle" people for a long time. I eventually tried eating literally double what I would normally eat, and as expected, I started gaining weight.

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#857

The big elephant in the room is where did everyone's endogenous GLP-1 peptide go? A similar elephant in the room is why is synthetic thyroid hormone to replace all the missing endogenous thyroid hormones such a high selling drug? What in the environment is slowly poisoning everyone so their bodies don't work normally? Here's a clue, one of hundreds in the medical literature: "The endocrine disrupting potential of mon…

Certainly it's one of the largest issues in society today.

We simply don't have much of an idea how the human hormone system works, or how it reacts to all the chemicals present in the "Standard American Diet."

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#858

I’m currently taking one of these drugs and it has been no less than a miracle in my life. I became obese when I was around 5, topping out around a 34 BMI. When I was 20 I lost a substantial amount of weight the old fashioned way (diet and exercise), and within 8 months I was BMI 23. Losing weight was extremely challenging and socially isolating. 7 years later, I had a bad ankle injury and regained weight to about 29…

Fat guy here: these side effects are pretty scary for somebody like me. 3 months of noticeably extra fatigue on top of my current baseline level of exhaustion seems to threaten serious psychological effects. 3 months of brain-fog sounds like a great way to get fired and really fuck up my life. If my "gastro situation" was noticeably worse than the unpredictable wildy-swinging nightmare it already is, I honestly have…

I was quite overweight for 20 years, now I'm just a bit thicc on my way to a lean muscular physique. It feels good. The biggest factor was getting away from the wrong people and habits. I'm not a fan of artificial intervention because I believe I should be able to get my body in line. It takes time for your body to adjust to the absolute shit you did to it for decades. I always said in my head "this is payback for what I did to me for 20 years, how can I expect to just turn on a dime." There is a good chance I will be the sexiest 40 something for miles around (I live in the middle of nowhere, but still!) The best feeling is looking great in clothes. Finding well fitting stuff is now fun.

You can do it. If I can do it.

Be warned that people who know you from the other physique will mock you for taking care of yourself. Be glad they are mocking you, it means you did something right. I felt such a sting the first time, it was traumatizing. "Shouldn't you be happy for me?" Turns out the answer is "no".

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#859

Earlier quoted context omitted.

[flagged]

> But it's always true that if you manage to eat fewer calories than your body needs each day you will lose weight. No, not necessarily. Several studies have shown that different people can get different amounts of energy out of the same food, depending amongst others on their gut micro biome, though stress also seems to play a role. It’s never going to be that simple. > the laws of thermodynamics won't fail Conventi…

>>Several studies have shown that different people can get different amounts of energy out of the same food, depending amongst others on their gut micro biome, though stress also seems to play a role. It’s never going to be that simple.

Nope still that simple. Your claim just means those people need less calories in to be in a state of calorie deficiency

Re: ‘Breakthrough’ obesity drugs that have stunned researchers

#860

Earlier quoted context omitted.

> It’s so hard to eat healthy, I honestly cannot fathom how people do it. When I started taking semaglutide, I finally understood it. I'd eat a salad... and be full and more than satisfied! I'd look at a muffin right after lunch, and go "eh, better things to do with my time" instead of immediately having an overriding desire to eat eat eat. Before, I could eat half a pizza and still be hungry (way out of what my body…

> Too many people are convinced that everyone has the same subjective experiences of hunger and craving, but it's simply not the case. Some people implicitly hold this idea because it's a convenient ideology that allows people to morally congratulate themselves for having a functioning satiety circuit. Where does this line of thinking stop? Is everything pre-determined by genetics? Is everyone who is smarter than me,…

Genetics and microbiome are the biggest factors, but training, habits and environment (how accessible is that junk food?) also matters.
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