I've never ever heard anyone say diet and exercise don't work. Is this something a real person has said to you in real life? Not on the internet?

I have known at least two people, who while not making the claim that it doesn't work, do make the claim that it doesn't work for them.

To me this is just subconscious denial/defending of their food addiction.

Ok but if they acknowledge it's an addiction, that's still a medical issue requiring treatment. Maybe that means going to food addiction anonymous meetings but if GLP-1 is like methadone for food, why not do it?

GLP-1 will prevent you from eating so much, but it won't make you eat healthy. You can and likely will still fill yourself up on junk, and will deal with the risks associated with that. Albeit it won't be enough to make you fat, but that's only one slice of health.

Learning to control your diet solves both problems.

I'd also argue there's a lot of value in learning to not be dependent on medication to control your behavior, because it's not available in most situations.

You can't take an exercise pill.

You can't take a career success pill.

You can't take a "hard, but necessary conversation with my partner" pill.

Those all require you to consistently do things you at times don't want to do, just like avoiding junk food.

No, they don't acknowledge it. To them their body is different and being large is just how it is.

Hence the "if".

If you are in a place where you truly can't control your habits then of course GLP-1s are an amazing tool. However, if you don't adjust your life-style you will relapse when you get off, so the real solution is to adjust your life style. Also, there are benefits to exercise that aren't connected to losing weight. In my experience, 100% of the people I know on GLP-1 drugs are not exercising. I'm sure I'll get 1000 responses of people who do, but in my experience they don't. So you put yourself in a position where you're not addressing the actual problem, you are on a drug for life, and you aren't being healthy in other capacities. Are there times where these drugs make sense? Yes. Of course. Spare me the lecture. Everyone I know on these drugs are middle class people who absolutely could be healthy but don't want to put in any work.

Exercise does very little for weight-loss. You can fill up on calories far faster then you can exercise them.

Thats like saying running the car does little for gas burning because you can fill up in 5 mins.

You have to actually kick your ass when you exercise. Most people don’t push that hard. Michael phelps ate what 6k calories a day or something crazy to maintain his prime form with the amount of caloric burn he was doing in training. If he continued to eat like he did in those crazy olypmpian training years, he’d be morbidly obese. If he ate like he does now in those years, he’d starve.

I think the "you can fill up in 5 mins" analogy is apt and reasonable, actually.

For the average person it's much harder to exercise out of a bad diet than just change the diet. I think it's an easier "sell" for most people to start off trying to eat less than to keep eating the same way and jump right into "kick your ass"-level exercise.

The killer with exercise is that it makes you hungry, proportionally to how hard you worked out.

It's a real killer for "calorie blind" people to go on a 750 calorie hike, and then stop by for a "treat" on the way home. That treat being a 500 calorie blueberry muffin with 200 calories of butter on it. Then they go home and have dinner.

Blame evolution. For 99% of our 300,000 year history, starvation not obesity was what killed homo-sapiens.

Diet and exercise tells people what to do, but not how to do it.

Knowing that you should do something, doesn't necessarily mean can do it. There's still the question of exactly how.

E.g., diet is heavily influenced by hormones/hormonal cycles and access to quality food choices, which vary significantly between people. The glp1s available now are a big help with the hormonal part of this, but they are not within reach of a large proportion of people.

> To me this is just subconscious denial/defending of their food addiction.

If you have to make up unobservable phenomena to explain plainly visible facts, it's usually a sign to look for a different overall model.

Trust me, these people aren't broke and uneducated. They're white collar upper middle class. You don't have to apologize for them

Quitting isn't easy, but fooling yourself to avoid it is on you.

"Food addiction" is perhaps not the most helpful way to describe something that every human would die without.

people don't die from lack of excess calorie.

I can't think of another thing that is called addiction yet requires this very specific wording. Can you give me another example of something that is required for life, but too much is called an addiction?

I hear this all the time to the point where I don't even mention looking at a person's diet and exercise because I expect they'll be shot down

It's something I've read a few times. Most of the studies I've seen say it's effect is modest at best. At least if it was a drug there wouldn't be enough evidence for it to get FDA approval (especially with all the "side effects" such as injury)

Arguably this is a limitation on how the studies were done, as nobody is going to pay for extensive studies since you can't patent exercise.

The studies can’t really prescribe very intensive excerise either. I mean they have to take people where they are. They might have them on a treadmill for a 30 min walk and call that the excerise component of the study. No one is making them squat heavy to failure or clean and press anything. No one is running them on the track until they puke.

Bodies are all different. Diet and exercise can work for one person and not another. But the type of person who wants to believe all fat people are slothful, all unemployed people are lazy, and so on, will invent in bad faith the straw man argument that we think diet and exercise do not work at all. They're not worth engaging with.

Incorrect. There is no person a diet and exercise won't work for. You can not run a caloric deficit and gain weight. The laws of physics apply here.

Humans are not bomb calorimeters. The physics is undeniable and straightforward, but the biology is messy and hard.

According to the nasty, nasty fights I've had with people about this topic there are, apparently, some people whose bodies are actually perpetual motion machines and I'm various kinds of insensitive for even bringing-up physics as it relates to weight. >sigh<

These must be the phenotypes the robots in The Matrix were using as fuel cells.

Are you claiming that some people are exempt from the laws of thermodynamics?

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