• ArtificialHoldings@lemmy.world
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    2 days ago

    Fat isn’t necessarily just about CICO. Someone might have a disorder causing them to store more fat than, for example, build muscle. You might have a thyroid disorder causing you to feel lethargic despite the fact that you ate a BMR level of calories, so you end up storing the remaining energy as fat. Not even getting into the variety of ways human behavior is illogical and can’t reasonably be answered with “just eat less.” Treatment for eating disorders is not like that.

    • BussyCat@lemmy.world
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      2 days ago

      Do you have a way that a person can gain weight at a calorie deficit? I acknowledged already that people can have a lot of physical changes that cause them to overeat but at the end of the day overeating is the problem

      • ArtificialHoldings@lemmy.world
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        16 hours ago

        I feel like I reasonably addressed the basic issue. I don’t think someone can gain literal weight without eating more calories than they consume, because that is how thermodynamics work. But it’s not always as straightforward as over eating, and it doesn’t always feel like over eating. For example, common cases of obesity in the US are due to a high amount of hyper processed foods that are calorie dense but don’t feel filling. Fat people don’t gorge themselves every meal, they eat what feels like a regular amount to sate their hunger. That’s why semaglutides are so effective, they make you feel hungry less and full faster. And shame based approaches at making people eat less have been proven not to work, because they don’t teach them to choose better foods or make them feel less hungry.

        • BussyCat@lemmy.world
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          3 hours ago

          So the problem is a lack of knowledge? Because we have a ton of available knowledge out there all a person has to do is acknowledge that they have a problem and choose to fix it. Almost all goods are required to have calories listed on the side as well so while you might not feel full eating an entire family size bag of Doritos if you acknowledged that you were an unhealthy weight and had any desire to change it you could quickly see that the bag of Doritos is more than 2000 kcal.

          I personally believe the real problem is a lack of will power, as information is very readily available. Now some medical conditions can require significantly more will power to lose weight such as people who feel lightheaded while still consuming excess calories but all semiglutides do is make it so you don’t need as much will power. I still think that’s a great option for people who have a desire to lose weight but they need a desire to lose weight first