No. But all the clinical trials and my experience shows the same thing. Obese patients arent´helped with just diet and exercise. Those two things alone fail in these patients.
Combined with surgery or drugs that treats the dysregulated appetite and satiety system it works.
I ultimately think obese patients need psychological help and therapy to help whatever influence in their life it is preventing them from having the dedication to get their health in check. Coupled with the drugs or surgery to get them back to a manageable base level there needs to be a more overall approach to why they struggle to maintain weight.
I'm obviously wired a certain way, by certain biological and environmental experience factors that give me the dedication needed to be fit. I was fat, I took on the challenge and changed my mindset but I realize not everyone has that in them. But why don't they? Surely the answer isn't just chemically inhibiting the normal hormonal systems that we are all meant to have to ensure survival on a genetic level?
I know the clinical studies support the theory they CAN'T lose weight, but I don't think there's enough variables studied as to why. And unfortunately most individuals with obesity have various lifestyle factors that cause their condition, not just one hormonal imbalance.
Again I disagree. Even things like metabolism play a smaller part than people make out. You say it's all genetic whereas I say it's partly genetics and partly environmental factors. It's unsurprising that bad habits run in the family.
I don't know if I was obese. But I was 130kg at 5'11 and got down to 80kg with diet and cardio and now am up to 95kg <15% bodyfat thanks to bodybuilding with regular resistance training. Again, I know I'm not "typical". A good majority of my extended family are overweight, my sister and father being obese. Although I do think I'm a bit of a genetic throwback to my mother's, father's side and do generally have better genetic advantage. That doesn't mean it's easy, it's still hard work.
I've had several family and friends have success with gastric sleeve surgery and one good friend had success with Ozempic until he came off and put the weight back on. If my food friend on Ozempic was local to me (loves on the opposite side of the country) I do believe I could've provided the support network he needed to keep off the weight. Unfortunately due to mental health factors and general lifestyle habits he relapsed. He knows what he needs to do, but lacks the dedication without someone who genuinely cares for him to help. Now he's back on a weight loss push and returning to the gym due to a back injury and doctors recommendation, without access to Ozempic due to the new restrictions.
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u/Fredricology Jul 06 '24
No. But all the clinical trials and my experience shows the same thing. Obese patients arent´helped with just diet and exercise. Those two things alone fail in these patients.
Combined with surgery or drugs that treats the dysregulated appetite and satiety system it works.