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Ask HN: Have you tried weight loss drugs?

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Re: Ask HN: Have you tried weight loss drugs?

#31
post #13
post #5

What about eating healthier and doing more sport? I heard it works pretty well.

The same thing as “don’t have unprotected sex and AIDS will go away”.

I think it is a bit different: I believe that a big reason for AIDS is lack of education about it and lack of access to protections.

Whereas in order to get weight loss drugs you need access to it.

Re: Ask HN: Have you tried weight loss drugs?

#32
Once when I was still smoking, I ran a 10K run and then had a cigarette. Some part of me, said "how stupid is this"?

We have a corporate food system that promotes obesity. Now other corporations want us to pay $1000/month to "cure" obesity. How stupid is that?

Go to a grocery store, measure the frontage into three categories:

- directly obesity inducing (soft drinks, chips, candy, flavored, sugar drinks, etc)

- processed and obesity inducing. Frozen meals. Mac and cheese, anything with added fat, sugar. How much salt induces obesity? Will meat from animals that have been given growth enhancers then enhance your growth? Will meat ground with fat induce obesity?

- healthy. Fresh vegetables, fruit, beans etc.

Now here is the question for you? Which of these groups make the most profit to the supplier? And does that align with the groupings above?

At my grocery store that we literally have less that one side of one aisle of fresh fruit and vegetables. And even there, more and more of the space is taken by packaged veggies - chopped lettuce with included salad dressing etc.

Our perception of our food system is whacked out. "a dominant theme has been that we have the safest food supply in the world." [https://www.ncbi.nlm.nih.gov/books/NBK209121/], and yet we have an epidemic of obesity. How safe is obesity?

Re: Ask HN: Have you tried weight loss drugs?

#33

Earlier quoted context omitted.

I think weight loss is more than just calories in/out. Maybe our body reacts to adapt to situations and tried to change the body shape to make it easier for itself. So I think healthy habits are more important and can depend on genetic history too.

I think emotions are a huge part of weight gain and loss and yet most Western medicine seems to almost completely ignore the impact of emotions on the body. Try eating a lot of food when sad—it's hard to take even a bite. Yet it's hard to even realize just how much one is eating when anxious. I also imagine the emotions impact digestion and storage of fats and a lot more, basically adapting our bodies to our perceive…

Yes, I agree. I feel we are definitely missing out.

Re: Ask HN: Have you tried weight loss drugs?

#34
post #25

Earlier quoted context omitted.

It was by far one of their most unrelatable escapades. The commentary on the US healthcare system was good, but everything else just felt like Hollywood problems. I think Matt and Trey no longer inhabit the same space as everyone else, and it's showing. (Other comments: the character interactions felt wrong, Kyle was too willing to help Cartman, and Butters was too willing to help without being cajoled into it first,…

Shootout was a clear Mad Max spoof.

Indeed, but it was lazily tacked on instead of built up towards. These are the kind of jokes that Matt&Trey used to rally against (ala Family Guy writing time) because there was no setup for it.

Re: Ask HN: Have you tried weight loss drugs?

#35
To me what worked was going the slow route: do small but *permanent* adjustments to the diet in order to slowly decrease calorie consumption. This is the path that is safest against eating disorders.

Having soda 5x per week? Well, let's see if I can survive a month doing it only 3x per week. Perhaps later replace it with the Zero version, or buy a smaller bottle. Once I do one step and "stabilize" on it, then I can further reduce consumption.

Pay attention to what times of the day I am eating but not that hungry. I concluded that having just 1 slice of bread at breakfast (instead of 2) didn't make any difference at all, so I did that permanent change. It's just 70 calories, but it's 70 calories I was able to cut at basically no effort.

Recognize about how many calories each of the things you do have. Always start the optimization with the liquid calories: soda, juice, starbucks-like stuff, alcohol. Don't go hardcore and fully get rid of anything: reduce amount, frequency, try to substitute. I still love donuts, I still eat donuts: I'll never take this away from my menu. But I don't eat 5 donuts in a single seating, and I don't eat donuts every week. Chocolate was way easier to dramatically cut: I like it, but not that much. I have no idea why I ate M&Ms: it's not even that good, but it was available (as my son loves it), so I just ate it without thinking. I don't anymore.

Same with exercise: I bought a stationary bike and my first goal was to do 15 minute sessions 2x per week, while watching youtube. I soon realized I could do 20 minutes every other day. Now I also do a small amount of weight lifting 1x per week after the bike. Also recognize that the goal of the exercise is *not* to burn calories, as calories burnt by exercise area way too little. By developing muscles you increase your base metabolism, and that's the biggest help. Also you get healthier and your day gets easier.

One small step at a time. Permanent changes. That will get you there eventually. This is a really good path, unless your doctor is screaming at you saying you need to lose weight immediately or you'll die. Try it.

Re: Ask HN: Have you tried weight loss drugs?

#36
post #20

If you can withstand the first few days, a lo carb / zero carb diet will do wonders for your appetite. I don’t know what the long term impacts are of such a diet but I do know from personal experience that it’s drastically improved my ability to withstand cravings.

It's amazing how quiet I can make the inner food voice if I fast and try to eat keto. More amazing is how fast a single day or two of carb listing utterly ruins it. I'm in the middle of a two day fast right now to try and get reset

Re: Ask HN: Have you tried weight loss drugs?

#37
post #13
post #5

What about eating healthier and doing more sport? I heard it works pretty well.

The same thing as “don’t have unprotected sex and AIDS will go away”.

I have unprotected sex all the time. I'm on prep. Maybe if I was on semaglutide I could eat carbs with out turning into a monster that wants to eat every cinnamon roll in existence. Idk.

Re: Ask HN: Have you tried weight loss drugs?

#38

To me what worked was going the slow route: do small but *permanent* adjustments to the diet in order to slowly decrease calorie consumption. This is the path that is safest against eating disorders. Having soda 5x per week? Well, let's see if I can survive a month doing it only 3x per week. Perhaps later replace it with the Zero version, or buy a smaller bottle. Once I do one step and "stabilize" on it, then I can f…

I think developing these habits requires real will power.

Its relatively easy getting pumped and aggressively dieting or exercising for few weeks/months, and then later slowing down and gaining back all the lost pounds.

A habit that seems to be making a difference for me is consciously chewing food 2x longer than usual. I end up eating less food and have improved bowl movements.

Re: Ask HN: Have you tried weight loss drugs?

#39
post #6
post #5

What about eating healthier and doing more sport? I heard it works pretty well.

Sports is actually extremely inefficient when you look at the science. However, when you look at anecdotes, it seems to be consistently impactful. I think it's more an issue with how we're calculating calories out.

What do you think about sports (say badminton) compared to treadmill or cross-trainer for cardio?

If I end up burning the same amount calories? Because I find it much easier to burn calories playing badminton compared to treadmill..

Re: Ask HN: Have you tried weight loss drugs?

#40
post #23

My kids call it my "Dad-kins" (a pun on Atkins) diet. Buy a scale. Record your weight. (e.g. 200.0lbs) Week 1: you can eat anything you want in one sitting if the scale shows less than 200.0lbs Week 2: you can eat anything you want in one sitting if the scale shows less than 199.9lbs (200.0-0.1) Week 3: you can eat anything you want in one sitting if the scale shows less than 199.8lbs (199.9-0.1) ... Week X: you can…

Are you weighing yourself before or after the meal?
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