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This shows an ignorance of how obesity actually works. The primary difference between skinny people and fat people is that fat people are just hungrier. Skinny people have functioning satiation reflexes, while fat people's have been damaged, likely from exposure to highly processed foods during childhood.
Have you learned nothing from the effect of GLP-1 inhibitors? For years, people have been demonizing fat folks as lazy and ignorant, smug in the self-satisfaction that their superior character and intellect could save them from that fate. And now we've apparently learned to bottle willpower, to condense "good dietary choices" into an injection. People take these medicines, and suddenly they find themselves drawn to eat a healthy amount of food, and to eat less sugary and refined crap.
This shows beyond any doubt that people were not making poor choices. They didn't lack willpower. They never had any fundamental character flaws. They just had a broken metabolism that forced them to crave unhealthy levels of unhealthy food. We give them a shot, and somehow this profound flaw in their moral character just vanishes into the wind.
Obesity is a medical problem. It's not an education, a willpower, or a character problem. We have tens of millions of people who have had a core part of their bodies - their satiation reflex, poisoned and damaged by the food industry. And instead of helping them, we declare their poisoning to be a moral failure.
You have learned nothing.
When I was fat hunger had little to do with it. I ate to mask my emotional pain.
Cute condescension (I actually kind of chuckled at the, "You have learned nothing" end, saying it like some growling villain), but you're still too in the weeds. Take it one step further: What causes some people to feel hungrier? The two most common reasons:
Does GLP-1 address either of these as a root cause issue? No, they do not.
More importantly — Are many diseases associated with obesity suddenly magically resolved if you just lose weight? No, they are not. Why? Because you never actually addressed the nutritional needs of your body. Sure you put less crap in, but you're still putting crap in while not putting in the CORRECT nutrients that would otherwise come with a holistic approach of addressing obesity by dietary means.
So if you continue to consume starbucks but instead of a 30oz you get a 10oz because you're on Ozempic, are you any closer to fulfilling your nutritional needs of protein intake, Omega-3 DHA/EPA, the recommended 25g of fiber (and are you distinguishing soluble from insoluble?), your B-vitamins, your potassium, etc? Equally important, are you cutting back on high sodium foods and high-sugar foods? No, GLP-1 does not magically change your eating habits to pick up a leafy salad full of nuts & seeds.
Beyond this, weight-reduction alone may lead to confidence and capability to go out and exercise, get more sunlight, socialize more, etc. — these of course have positive impacts on the body. It's just that if you depend on GLP-1 beyond reaching a target weight without actually changing your habits, then you will still perhaps unknowingly be degrading your body because you don't even have the negative signal that is obesity forewarning you.
NOTE: This is not me fat-shaming or saying people are lazy; I am wholly aware many of these stressors are a result of things outside their control, like societal pressures or corporate marketing teams short-circuiting evolutionary wiring of our neurochemistry. It is anything but easy. DO NOT use a fucking straw-man on me to claim I am these people are lazy or ignorant. (in fact, I'm warning of the same magic pill corporate scheme that got us into this situation in the first place, ironically that is addressing symptoms without ever addressing root causes).
In the vast majority of prescribed cases of Ozempic, GLP-1 is already produced by the body freely; you just have to put the proverbial correct oil in your engine to get it to release. Until those underlying habits change, then you are not sufficiently addressing the nutritional deficits of your body.
The diseases of obesity ARE solved with Ozempic. Because most people who are obese and take Ozempic already know how to eat healthy. They're just drawn to eat unhealthily large portions of healthy foods. The root cause of the problem is that people are simply too hungry. These medications solve that issue. Fat people aren't suffering vitamin, mineral, or fiber deficiencies. They're just eating too much food.
You just don't want to admit the truth, instead you demand that we magically reorganize our entire society and food industry...instead of just letting people take a pill that solves the root problem at its source.
The reason they're too hungry is because of disruptions in signaling hormones like Ghrelin and Leptin that are not properly responding due to the consumption of unnatural ultra-processed foods. This induces a destructive feedback loop that leads to REDUCED satiety and consequently INCREASED hunger. For example, if you drink Kool-Aid with 2 cups of sugar in it, the concentration of which is a) a sugar density impossible to find in nature besides maybe honey, b) lacking other insulin-regulating and satiety-inducing nutrients — most notably fiber but also say xylitol — then you will send insulin surging which so happens to have an impact on ghrelin and leptin signaling molecules to the brain. It is extremely difficult to make this happen if you eat whole foods. I eat LOADS of healthy food all the time — as much as I want! Yet my BMI remains perfectly low. This is not the issue.
Edit: I should add in reference to my previous comment that the other factor is the feedback loop of environmental stressors, elevating cortisol and leading to an increased fixation on fast dopamine hits, which of course, if there is a potato chip bag or fries in the area, will look more appealing. In some respects, it's little different than substance abuse of heroin albeit to a lesser degree.
It's not "unhealthily large portions of healthy foods," — it's unhealthily dense portions of unhealthy foods, primarily.
Yes, they quite often do. By the very nature of consuming unhealthy foods in high quantities leading to obesity, they are as a matter of zero-sum NOT consuming healthy nutrients, such as fiber. You don't seem to understand the impact fiber specifically has on weight regulation, or the insulin cycle and the impacts on hormonal signaling molecules Ghrelin and Leptin. Educate yourself in these arenas and you'll have a better understanding of the obesity epidemic. I promise you it's not because people are eating "too much healthy food" lol.
Don't just take it from me:
https://hmri.org.au/news-and-stories/ozempic-helps-weight-loss-making-you-feel-full-certain-foods-can-do-same-thing/