Skip to content(if available)orjump to list(if available)

WeightWatchers files bankruptcy

WeightWatchers files bankruptcy

289 comments

·May 7, 2025

cmcaleer

I'm not sure why this is being framed as an Ozempic story, when if anything it seems like it's more of a cautionary tale on not taking on $1.5 billion dollars of debt to buy back shares near all-time highs and crippling your company for over a decade before ultimately forcing it to file for bk.

https://www.prnewswire.com/news-releases/weight-watchers-ann...

Its stock tumbled ever since those highs and likely wouldn't have ever recovered had Oprah not bought and pumped it. To this day they still carry over a billion dollars in debt.

In fairness to the WW board of the last couple of years, they did make a of reasonable pivot to try to rectify the ship (like buying a telehealth service which prescribed Ozempic), but ultimately it seems like this buyback from 13 years ago created a burden that just made them unable to weather the storm gracefully.

dehrmann

> near all-time highs

Because of inflation and market growth, a company that isn't shrinking should usually be sorta close to an all-time high.

nitwit005

> I'm not sure why this is being framed as an Ozempic story

Look at all the comments discussing the drug instead of the company. If there is a topic people are interested in, stuff it in the headline.

musicale

> taking on $1.5 billion dollars of debt to buy back shares near all-time highs

> To this day they still carry over a billion dollars in debt.

Bankruptcy sounds like the only option, but the initial borrowing sounds like incredible mismanagement.

mlinhares

Not mismanagement if you made a lot of shareholder value with the buybacks.

bawolff

But they didn't, as evidenced by the bankruptcy.

The whole, everything stupid a company does is "increasing shareholder value" meme is annoying. Not every dumb action a company does can be explained that way.

ricardobeat

Generating shareholder value while wiping out twenty thousand jobs, killing the business and eventually going bankrupt. The epitome of business success

hapless

Stock buybacks are substantially equivalent to dividends. You issue a dividend when you have nothing to invest in that will develop shareholder value. Buybacks work the same way. You have a stock of capital, or a great borrowing opportunity, and nothing to do with it.

Most companies always have another idea to do a new thing, that might induce growth. WW did not. WW has been in trouble for decades, because their business model pre-supposes consumers are too stupid to use a search engine. (Does "weight watchers" work? No. No it doesn't.)

The debt-for-buyback swap is a symptom, not a cause. Management had nowhere to go, no vision for growth, and when you are out of ideas and you are offered an attractive loan, you do a buyback.

dehrmann

> Stock buybacks are substantially equivalent to dividends

There's a whole theory on this:

https://www.investopedia.com/terms/d/dividendirrelevance.asp

The easy way to see it is if all shareholders reinvest dividends, it's the same as a share buyback, only with the broker buying shares on your behalf rather than the company, and your ownership of the company includes a bonus fractional share.

Dividends are also a bit of an accounting game. You can pay yourself a "dividend" whenever you want buy selling shares. This is only 95% true, but if your share in a company just entitled you to 65 cents, the share is probably worth about 65 cents less since the money came from somewhere.

niemandhier

Buybacks also protect you from hostile takeovers, or from a competitor buying shares until they are entitled to a seat on the board.

The latter was the the end of several large German companies.

cortesoft

A company can also decide to do stock buybacks if the leadership thinks its stock is undervalued.

wronglebowski

What's the argument for stock buyback programs generally? We have more cash than we know how to spend reasonably?

bern4444

It's like a tax free dividend. Dividends are taxable but if a company uses the cash they would have spent on a dividend on a buy back there's no taxable event for the investors. Those investors who want the cash can sell and pay the tax and the rest enjoy the higher share price

musicale

Incentivizing short-term investors to dump stock by boosting the price temporarily? I guess that's a strategy.

tbrownaw

Yes.

If you have more money than you're able to make good use of improving the company (r&d, acquisitions, new locations, whatever), you can give it back to investors. Which can be either a dividend or a buyback, and in theory (ie, ignoring pesky details like taxes) those are supposed to be equivalent.

JackFr

An enterprise can be financed with debt or equity. Issuing debt to buy back shares is simply changing the capital structure of the firm.

It lacks a moral component.

cortesoft

It can also be that the company leadership thinks the stock is undervalued.

andrekandre

  > We have more cash than we know how to spend reasonably?
literally all kinds of things could be done...

- pay your workers a good bonus?

- invest the money in the market?

- lower prices?

  > What's the argument for stock buyback programs generally?
they used to be illegal because its a form of stock price manipulation*

* https://www.forbes.com/sites/aalsin/2017/02/28/shareholders-...

dehrmann

> invest the money in the market?

Unless you're Berkshire, most investors don't want this. They buy a company for its success in widgetry. If they wanted to pay someone to invest in the market, they'd buy an actively managed fund.

nradov

That's silly. It's a business, not a charity. When I'm a shareholder in a business I don't want management wasting my capital by investing it in the stock market when they run out of growth opportunities. Just give me the cash back (preferably in the form of stock buy backs) and then I can invest that cash in other businesses myself.

musicale

> Give shareholders the right to vote on buybacks.

I like the idea of giving long-term shareholders an easier way to weigh in on buybacks.

vkou

> I'm not sure why this is being framed as an Ozempic story

I am. Because just like how I've always got someone else to blame for why I never cleaned my room, executives can always find someone else to blame for why the business they are running went to shit.

And the press loves to run with a good just-so story that paints some indefatigable foreign villain as the cause of a company's demise, instead of boring, banal mismanagement.

danielmarkbruce

This is a dumb take. WW was dead no matter what they did. They got beat by the worlds greatest ever mousetrap - GLP-1s.

danielmarkbruce

Because revenue took a very sharp decline when ozempic was approved.... which caused it to not be able to service debt. The company is worth zero. It was worth zero the minute the GLP-1s became viable. Whether it was financed with debt or equity matters not.

pmarreck

My 2 cents-

I lost 50 lbs or so on Mounjaro by the time I reached the maximum dosage. Then, a confluence of supply-chain issues and coverage issues eliminated ALL of it, and within a few short months I had regained all the weight. I finally got coverage again, and supply again (via Zepbound) and began slowly increasing my dosage again.

I'm now at the maximum dose and I've lost exactly 0 pounds from the peak.

So, a warning: Use of this drug seems to be a one-and-done. If you can't keep the weight down after you bottom out and after they take you off the drug, it MAY NOT work again.

nemothekid

Of all the information I've seen about Semaglutides the only people I've seen it keep the weight off are:

1. High end personal trainers clients, for which semaglutide was used in conjunction with the trainer's workout regiment and diet.

2. Body builders and models, for which semaglutides simply replaced caffine/adderall/ephedrine.

The drugs can't induce the lifestyle change needed to keep the weight off (nor will it give you the motivation to go to the gym and build muscle). I'm thinking for now, it's a race to see how cheap these drugs can get and ensuring they have no side effects from very long term use. Overall I think the drugs are a net good and I'm interested for seeing the effects for myself, but I'm in good shape and $500/mo is still steep.

nwienert

Have to say I basically take the opposite on everything you say here. I know quite a few people who aren't super active (myself included) who took it and went off and kept the weight off.

And they actually do induce lifestyle changes, which is the fascinating part. Not for everyone, but the impulse control changes are dramatic. I had a friend credit him going to therapy for the first time in his life and reading for the first time since high school to it which was crazy, but makes sense because it also helped him quit smoking weed so he had a lot more time.

r00fus

Were you on a program that focused on diet/exercise changes? Did any of those habit changes stick?

pmarreck

The new program does, but hell man, a toddler who doesn't sleep through the night (ever... No family help, either) and who demands 100% attention when he's not at daycare is a massive, massive hit to your free time/motivation/energy/stress. He's wonderful but I'm absolutely fucking miserable right now.

nekitamo

Stay strong and keep going. When they start kindergarten you'll have more time for yourself and things will get better, I promise.

null

[deleted]

tlogan

Personally, I’ve found that the best use case for GLP-1 drugs is reducing alcohol consumption.

Just wanted to share that observation.

trollied

Interesting. I’ve not seen that mentioned before.

benbayard

I took Semaglutide for 6 months. Before Semaglutide I'd want to have a beer just about every day, but I'd only drink a few times a week. Once I started Semaglutide I completely lost the desire to drink alcohol.

The same was true for food. I thought about food all the time. But once Semaglutide started I just didn't think of food. I had to remember to eat.

Semaglutide in my experience really helps to eliminate addictive behavior in general, I believe. At least oral addictions (I'm not sure if it would help with e.g. gambling addiction).

I never understood why skinny people believed that fat people have no impulse control until I took the medication. Once I had that impulse control it was so much easier to make long-term decisions.

pjc50

Yes. It turns out that food is addictive, like breathing.

(More practical note: alcohol contains a surprising amount of calories, especially in beers and sweet wines and ciders. Cutting alcohol consumption also helps weight loss.)

blindriver

Did the cravings reoccur after you went off it?

codr7

I have a hunch that what it's really doing is regulating impulse control.

teej

glp-1 inhibitors turn out to be better for alcohol and smoking cessation than any other drug we have. Truly a miracle drug.

sanderjd

But they aren't actually prescribed for these things (yet?), right?

CivBase

This is definitely true. I was on some for a little bit and it absolutely killed my taste for beer. Luckily I'm not dependent on alcohol so that wasn't a problem. But now that you mention it I wonder how effective it would be at helping an alcoholic wean themself off it.

That said, I didn't have as much problem with spirits and cocktails since they don't have as much volume and generally aren't as filling. There might be a danger of turning a beer drinker into a hard liquor drinker.

apwell23

does it take away all the things you need to enjoy life ?

1. food

2. alcohol

3. gambling

4. smoking

last three are extreme cases but general principle should still apply.

snapcaster

I'm of two minds on the ozempic thing.

On the one hand, i'm really happy for my friends and loved ones who have always struggled with weight find a solution that works for them.

On the other hand, i went through a non-drug assisted weight loss journey and improved countless things about my lifestyle besides just the number on the scale.

I worry this solution being available will just increase the number of sedentary people (which is also really bad for your health) and create a whole new set of people dependent on the pharma industry to be able to live their lives how they want

ksindryolos

I'm on Zepbound (more effective than Ozempic for pure weight loss), and I'm the most active that I've been in 15+ years. Losing the weight gave me so much more energy, and made is significantly easier to work out properly. I lift weights three times a week and go on walks that are twice as long as when I started. There are also a ton of positive mental side effects. It's hard to describe the kind of hope I have after trying and failing for so long to keep my weight in check. Everything is just easier, which is not something I anticipated when I started.

arp242

I've never had any problems with my weight until the last year or so; guess I'm getting old? Currently ~106kg at about 2m, which puts my BMI just in the "overweight" category (imperfect measure, but still). Basically, I have what you'd call a "beer belly", which is very new for me. I don't like it.

Reading between the lines, I have the impression that you were fairly strongly overweight ("obese") and struggled with more serous weight issues throughout your life?

I share the concern of the previous poster not so much for people like you, where "lose weight to a manageable level ASAP" is generally a good thing, but for people like me who are "a bit fatter than they'd like" but not necessarily "obese". If you'd meet me, you wouldn't necessarily call me "fat".

Previously I would just eat whatever (not super unhealthy, but also not really healthy) and not really exercise beyond my stubborn insistence on walking or cycling everywhere.

I don't see weight loss rugs as a net positive for me. I made some positive changes to fix this, and if I were to take Ozempic I'd just revert back to my lazy git self, and not get all the benefits that a better diet and exercise give me.

itake

> if I were to take Ozempic I'd just revert back to my lazy git self, and not get all the benefits that a better diet and exercise give me.

I don't think taking Ozempic is mutually exclusive with improving your diet and exercise.

nradov

It's not a matter of getting old. Age by itself doesn't cause weight gain.

pmarreck

See my potential warning here:

https://news.ycombinator.com/item?id=43919011

bb88

Here's a stark warning about diet and exercise: "90% of people who lose weight will likely regain it back."

https://www.michiganmedicine.org/health-lab/weighing-facts-t...

Weight loss is easier than keeping it off. There is only so much will power people have against food noise.

snapcaster

Great to hear!

pjc50

People really want these things - exercise, weight - to be important moral objectives for others, when they're not that important in the grand scheme of things. Now you'll just have to find another easy visual marker for ranking people by moral superiority.

snapcaster

I see your point but not really true. people in good shape vs. people who lost weight is pretty visible

const_cast

It’s not really, and it’s more complicated than we think.

If we take a gander at Hollywood, we would be deceived into thinking it’s full of men who take really, really good care of themselves. But it’s not so - most are taking steroids, and even more are doing extreme starvation diets prior to roles.

We can actually see the inflation of physique in real time. Look back 5 years, then 10, then 20. Look at the protagonists - they represent the “peak” of what humans want to look like. By today’s standards, those super heros 20 years ago are scrawny.

ben_w

If you're as muscular as Schwarzenegger, some people will fancy you, others will say you're ugly and unnatural because you're taking steroids.

On weight, France (amongst others) had to ban extremely low BMI models*, which implies that people are very happy to look at — and desire to have — dangerous body forms.

* https://www.bbc.com/news/world-europe-32174364

TheOtherHobbes

Obesity is literally the major cause of ill health. Cancer, dementia, heart disease, diabetes, and strokes are all extremely unpleasant and are all credibly linked to excess weight.

The food industry is a lot like the tobacco industry. Everyone is aware of marketing around health and fitness. But the marketing and social programming that keeps people eating - ad campaigns, portion sizes, food consumption traditions that are billed as "family" events, even things like giant popcorn buckets in cinemas, or the idea that sweet things are "naughty" but also rewarding - gets a pass because it flies under the radar.

It's literally a double bind. Everyone gets two contradictory messages about food, starting from early childhood. And they cannot be reconciled.

So no. It is not about personal morality or shaming people for the sake of it.

Medically, economically, and personally, it really is that important.

mvdtnz

You think exercise is "not that important in the grand scheme of things"? I urge you to do a bit of research on the topic, if you care about living a long and healthy life.

throwaway2037

Real question: I remember a long time ago reading a theory that the amount of time you spend on physical fitness is roughly equal to the amount of longevity gained. Said another way: If you spend one hour running for exercise, you might gain about one hour of extra longevity. It seems nearly impossible to study this theory at scale, but I am curious if there has been any other research.

To be clear, I'm not using this post to "dog whistle" that people should not exercise for fitness.

spudlyo

Consistent exercise is right below getting consistent quality sleep in the category of "benefits you would happily pay $1000/mo for if they came in a syringe". The benefits are both mental and physical. If you value your mind you should seriously consider paying attention to both.

bb88

If you think it's important for you, awesome. I personally think nuclear proliferation is a more important issue for the world than if I lose weight or not.

And that's okay for me, and it should be okay for you, too.

anon291

Realistically speaking it correlates extremely well with self control. Not perfect and I'm not talking about a few extra pounds. But morbid obesity? Yeah pretty much always ..

rekenaut

I don't know that that's true. For subset of people, this correlation may be true. To be extremely anecdotal though, I have never had trouble maintaining my weight even though I don't exercise, have a mostly sedentary lifestyle, and don't pay attention to my diet. I just got lucky in that I feel hungry more rarely than others. I think it would be absurd to say this is a reflection of my self control, and I am sure there are others that this applies to too.

kenjackson

Why would it correlate with self-control? It seems much more likely to correlate with interests and food preferences. My old college roommate just loved vegetables and complained how he couldn't gain weight, so would take weight gainer powder. I suggested eating hamburgers and pizza, and he said that he couldn't stand the taste. His lack of weight had little to do with self-control.

And given how much weight can be impacted by relatively small changes in diet over a long period of time, makes me think that self-control likely plays little role. The fact that I love basketball and not video games doesn't give me more self-control. It just means I enjoy doing something that burns a lot of calories.

Starlevel004

It's a lot easier to be less sedentary when your knees aren't carrying 1.5x their rated weight and you don't become 50% sweat by mass after an hour.

twodave

It’s not about what’s easy. This is what the OP is talking about. Anyone who is in shape over a certain age pretty much has to wake up and choose the hard thing most days. Whether it’s bunions, old (or recent) injuries, GI problems, arthritis, inflammation—movement is good for all of these things. I know this from personal experience. If I stop moving for a few weeks it is very painful to get back into the groove. I’m currently dealing with some kind of lower GI problem that is affecting my energy and causing a lot of discomfort. I have foot problems, a messed up rotator cuff, etc.

But if you just keep showing up and putting in the effort (and most of all, not comparing yourself to anyone else, even your past self), the results will come.

kazinator

Losing fat through exercise requires a high volume; excess weight will really put extra stresses on those injuries and other problems. If people have some shortcut toward reducing their weight so they can exercise more easily (rather than looking at it as the complete quick fix), it may not be a bad idea.

thefz

You can get very thin without moving a muscle and by diet alone.

greenchair

I've come to the conclusion that some people by nature have such a strong bond with food whereby they don't have the willpower to operate with a caloric deficit.

mvdtnz

Thin people sweat too.

ZekeSulastin

Here’s a fun thought exercise - replace Ozempic/weight loss with any number of drug/mental health condition pairs.

I also hope there’s no long term worse side effects, but I agree with pjc50 in that most of the negative reaction is actually about feeling morally superior.

RankingMember

I agree, it's moralizing. The dependence on pharma is a real concern, particularly in a country (US obv) where they've got us all by the balls, but it's no less/more a problem here than for any other ailment requiring maintenance meds. We're still learning how the American diet and other environmental factors can literally change peoples' metabolism and it makes complete sense to me to treat the symptoms if we have the means to do so.

cjbgkagh

It’s a peptide like insulin. It’s made through recombinant DNA which can be done with desktop bioreactors, it doesn’t take a whole industry to make this stuff.

thefz

> Here’s a fun thought exercise - replace Ozempic/weight loss with any number of drug/mental health condition pairs.

Most disesases are not self inflicted. Obesity is

triceratops

If obesity is 100% self inflicted, the fast food, snack food, and ancillary advertising industries should pack up and go home. They obviously do nothing.

Instead we have a system where these companies are allowed, even encouraged to make food that's terrible for you taste amazing, and market the shit out of it to increase shareholder value. But when they succeed at their jobs it's because you, the individual, fucked up. Well which one is it? Both can't be true.

xnx

I'd rather solve one of two major health problems (excess fat and insufficient activity) than neither of them.

For the morbidly obese, fat loss makes more activity much more feasible.

betterThanTexas

[flagged]

alabastervlog

Is discipline why some other countries have a lot more skinny people than the US?

Do they lose that discipline when they move to the US, and typically pack on weight? Like, is there a an anti-discipline barrier they have to walk through to get in?

It really doesn't look like discipline's a major factor in how a population stays in a healthy weight range, so it'd be surprising if it merits being the main focus of any effort to make a fat country skinnier.

SAI_Peregrinus

Ozempic reduces addictive behaviors, it's effectively a drug to improve discipline more than directly a weight loss drug.

xrisk

As parent says, would you rather have “undisciplined” obese people or undisciplined non-obese people? Because those are the realistic choices here.

no_wizard

I'd very much rather have the chance at being more active by losing weight via GLP-1 class drugs than really having to fight two uphill battles at once. I think we're overall going to be seeing more positives than negatives coming out of this.

ebiester

How much did you lose? What is your current food noise?

I really like Mark Lewis's take on YouTube - he's someone who is very fit in general but an injury threw him off and before he knew it, he had gained double digit kilos. This is someone who is motivated but also deals with high food noise.

I deal with low food noise. I am relatively active. I got up to <overweight> pounds slowly and over 8 months was able to lose 40. Even so, I had just one bad month at work and gained 7 pounds without significantly dropping my activity. Just a few meals out and not tracking my calories and I fell off of maintenance quickly. If I resistance train my ability to keep control of my calories falls off quickly because I just get too hungry.

I'd love just a maintenance level just because distraction-level hunger sucks.

itsoktocry

>Just a few meals out and not tracking my calories and I fell off of maintenance quickly.

This is the big thing: it's amazing how little you can fall out of line and gain weight. A couple hundred calories a day and you're adding weight, every week. It really does take discipline.

zahlman

What do you mean by "food noise"?

ebiester

How much of your active attention is tracking on your hunger signals.

If I can't focus on my current task because I'm too hungry, that's food noise. If I can't get to sleep and am tossing and turning because I am too hungry, that's food noise. If all I can think about is a doughnut, or even if I'm chomping on raw broccoli and hating myself because it's just making me hungrier, that's food noise.

null

[deleted]

anon291

Bags of rubbish calories lying all around us is what I assume. I have stopped eating outside of defined times to cut down on this.

ridgeguy

I started on Zepbound March 1. The food noise is gone. I'm no longer distracted by intrusive thoughts around food/hunger, which after a lifetime of enduring such, is wonderful.

The strongest behavioral effect is that I no longer snack at all, a lifetime habit pre-March. That's resulted in ongoing weight reduction, ~9kg so far.

That, in turn, has encouraged me to increase my activity levels a lot. Offered as an anecdatum in which this drug is driving me away from the sedentary tarpit, rather than towards it. YMMV, of course.

djd20

I call bs... the utterly terrible customer experience is what lost them their customers. And constant changing of plans which became less and less effective... all of their 10$ a month customers don't suddenly have the budget to spend 1000$ a month on ozempic.

kotaKat

That’s why there’s all sorts of sketchy compounding pharmacies stepping up to the plate, not to mention the “research peptide” market…

doctorpangloss

> ... the past two years have been a fun experiment in semi-free-market medicine. I don’t mean the patent violations - it’s no surprise that you can sell drugs cheap if you violate the patent - I mean everything else. For the past three years, ~2 million people have taken complex peptides provided direct-to-consumer by a less-regulated supply chain, with barely a fig leaf of medical oversight, and it went great. There were no more side effects than any other medication. People who wanted to lose weight lost weight. And patients had a more convenient time than if they’d had to wait for the official supply chain to meet demand, get a real doctor, spend thousands of dollars on doctors’ visits, apply for insurance coverage, and go to a pharmacy every few weeks to pick up their next prescription.

https://news.ycombinator.com/item?id=43369502

sumtechguy

It has been interesting how that company managed to stay around.

codr7

Good riddance! I'm pretty sure they caused more eating disorders than anything, creating return customers just like every other business.

toomuchtodo

What's wild to me is the amount of effort and resources that have gone into weight loss around exercise and diet only for us to discover it is a hormone and brain chemistry issue around the gut and reward centers (GLP-1s). Shades of https://www.youtube.com/watch?v=02Or-Hx3yqc

pjc50

It's the other way round: people love being judgemental about the diet and exercise habits of others, since it used to be a difficult-to-fake social signal, and apparent weight and fitness is an easy metric for that.

See also: white people being judgemental about people with darker coloured skins, to the extent that they may sometimes invest in skin lightening, meanwhile white people are investing in artificially darkening their skin with tans (because it's a symbol of conspicuous consumption, the ability to go to sunny places).

cjbgkagh

After a lifetime of being told it was a personal failing and expect a pill to fix our problems it turns out that what was we needed after all.

I had uncontrollable weight gain, a comorbidity of ME/CFS. GLP-1 agonists has helped a lot with both. I eat a strict diet and exercise as often as I can, which is less often than I’d like due to PEM. I think it’s likely that much of uncontrollable weight gain is due to autoimmune issues and GLP-1As do seem to help with that.

I started GLP-1As as soon as mainstream adoption started and so I could get safety data to help figure out dosing. I had already benefited from extended water fasts but it was rather challenging to keep doing that.

snapcaster

I'd be worried about declaring victory too soon. I hope we don't discover any serious long term side effects but it does seem like it's rare to get a free lunch when trying to change our bodies

op00to

GLP-1s have been around for decades. As far as medications go, that’s plenty long for “long-term” side effects to show up. Not saying it’s not possible, but it’s also not likely at this point.

freeAgent

Yes, and to be clear about where they were hiding, they started out as a treatment for diabetes.

SoftTalker

There's enough evidence that it can cause liver damage that people taking semaglutide need to monitor their liver enzyme levels.

logicchains

There are already known short-term side effects, that's why it's not prescribed just for aesthetic weight loss, only to people whose weight poses health problems: https://www.gov.uk/drug-safety-update/glp-1-receptor-agonist... .

bayarearefugee

> There are already known short-term side effects, that's why it's not prescribed just for aesthetic weight loss, only to people whose weight poses health problems

I can't speak for countries other than the US, but here these drugs are being prescribed and used widely for entirely aesthetic reasons by many, many people.

Legally this isn't supposed to be true, but there are tons of online telehealth services that are clearly just rubberstamping prescriptions for anyone who wants one.

Same situation for prescriptions for pills to make your dick hard and baldness. There's CYA legal regulation for all of this but in the real world there's no actual barriers for anyone motivated to do so from getting their hands on this stuff.

bena

I never saw so much hand-wringing and pearl clutching when we started injecting botulism toxin into our faces to make them smoother.

Why are we so dead set on making sure overweight people struggle to put off the weight? Why can't it be easy for them?

I don't mock alcoholics for not being able to control themselves around alcohol. But we are determined to mock overweight people. Despite alcoholics having an easier time dealing with their vice.

Think about it, every other vice is controllable by simply avoiding the thing. Except for food. We must eat. It is a requirement. Having an issue with food is something you must deal with. You have to deal with the underlying issue. It requires true discipline. And it requires you to maintain that discipline 24/7. We don't ask that of any other vice.

kstrauser

I heard someone compare it to breathing. You have to breathe. You can't avoid breathing. But imagine a situation where taking deep breaths was considered undisciplined and weak. Sometimes your body craves air and you desperately want to inhale all the way, but people around you will roll their eyes at you. "There he goes again. He swears he just breathes through his nose, but we all know he opens his mouth when he thinks no one's watching."

elzbardico

It is a bit more complicated though. Plenty of people have lost weight sustainably with diet and exercising. It just doesn't seem to work with everyone.

alabastervlog

Diet and exercise methods don't[1] work for most people, for loss and especially for healthy weight maintenance.

With extreme levels of direct, personal involvement by multiple professionals (which is what rich people / celebrities have historically used, and variations of which have been studied by researchers) the efficacy level reaches "sort-of OK, but still not great". That's crazy-expensive, though, so not a realistic solution for the masses, plus the results are still pretty lackluster despite the cost.

[1] Could, hypothetically, yes "CICO", technically anyone could lose weight, but they in fact do not work when applied in the real world, statistically speaking.

no_wizard

Perhaps anecdotal but generally society doesn't seem to be setup to reward people making good choices.

Before the GLP-1 drugs became mainstream for weight loss, I know friends who were overweight who had enough money[0] to go on programs where your entire meal days are planned for you[1]. They'd ship you enough food for 2 weeks at a time, but you never had to think about what you were going to eat, it was all pre portioned and decided by your meal plan as part of the program.

They saw really meaningful results, lost weight, and as long as they were on the programs, they kept it off. As far as I could tell, the food wasn't anything special beyond being properly proportioned and nutrient dense - certainly achievable on ones own - but it seems the rigidity of it - that is, the fact they didn't have to make food choices every day - made it easy to stick to. The food prep itself was easy too - mostly throw it in a single skillet, microwaving it or putting it in the oven on a tray or in a baking dish was all it took.

I watched as they got healthier they were more active, felt better, seemed generally overall much happier.

Once the program was over or they for whatever reason had to stop, it didn't take long for the weight to come back, and they had discovered a big part of their problem was food anxiety - not knowing what they wanted to eat, having trouble with food cravings etc.

This has lead to me to suspect there are some seriously chronic issues with food culture in the US - namely, we haven't made doing the objectively best thing the easiest thing. Its too often out of reach due to cost, availability or time - which also speaks to other interconnected issues in the US that are going unaddressed.

For example, I know these programs worked exceedingly well for those I saw on them, why aren't they cheaper? Why don't we subsidize such things to nudge society in a better direction with food choices? We already subsidize the bad stuff - we should move those subsidies to better options.

[0]: I'm talking breakfast, lunch, dinner, and a small allotment of daily mini meals - really snacks.

[1]: This is the problem. To do this, you have to be of upper class means just to afford the food, and thats not even including the cost of the program associated with it, and in some cases its simply a meal delivery program and there's no additional anything, and its still expensive

itsoktocry

>Diet and exercise methods don't[1] work for most people, for loss and especially for healthy weight maintenance.

Maybe we should be asking people in shape what works, not asking people out of shape what doesn't.

Diet and exercise works.

andoando

I wonder how much of that is education.

Most people also don't seem to know that weight loss is simply Calories in - calories out, what their BMR is, how to track calories. Most people, even educated people, still seem to believe things like they have slow metabolism, that herbal teas can help, doing situps will reduce belly fat, and number of dumb shit the market tries to sell.

As a nation were just far too focused on $$$, and instead of focusing on fixing the root of the issue, were only incentivized to bandage the problem with producing more things that will make $$$. Sell shit food, people get fat, sell crap products for weigh loss, drugs, surgery, etc

lanfeust6

This is normally because those diets are unsustainable, or not sustained at any rate. If you change your habits such that you start introducing more calories, it's not a question of "if" you'll gain back weight, but when.

It's only fairly recently that we seem to have a better grip on what makes caloric restriction more sustainable, and accounting for effects like metabolic adaptation. Even then that information doesn't seem to reach most people.

Also understated is the impact of one's environment, and social support systems. It's much harder if you break from what your family and friends are doing. Some habits, I've seen with my own two eyes, can be regarded as an obligation.

I really believe the odds can turn around for a larger demographic, with a more optimal approach. Let's not forget that we've had far more invasive procedures than ozempic available to help facilitate weight-loss (like gastric bypass), and people still gain back weight on those, if they refuse to change their habits. Drinks, junk foods, and deep fried foods are not satiating compared to their caloric density, and that remains true regardless of surgery and pills. Nothing changes until it's internalized that binging has a price.

null

[deleted]

meindnoch

Diet and exercise don't work for most people, because they don't exercise enough and don't follow their diet. Simple as.

h2zizzle

The realistic solution puts car manufacturers and certain food processors out of business (unless they learn to compete as export-focused/non-addiction-based businesses), so... Yeah, maybe not so realistic. But the obesity stats of countries with robust public transit, walkable neighborhoods, biking infrastructure, and restrictions on highly-processed food speak for themselves.

In the end - as with so many issues - the question is if policymakers are going to throw capitalists or regular people under the bus.

toomuchtodo

True, but some people might have favorable gut flora others do not (there was evidence of this with fecal transplants, with recipients acquiring the metabolic profile of the donor). The meta issue is that the human body and its interaction with gut flora and other systems are still somewhat unknown, and we are still simple monkeys using hammers on inputs of the body.

Why do we need GLP-1s? Is it because of Western diet? Misfiring reward centers (GLP-1s also appear to quell addictive behavior around alcohol and hard drugs)? Broad antibiotic usage along with more sterile living environments causing misbalanced gut flora (not producing sufficient quantities of natural GLP-1)? The most exciting phrase in science is not "Eureka!" but "That’s funny...".

I thought the long term solution was gene therapy for GLP-1 consumers, but now believe it's going to be probiotics that encourage gut flora that excretes sufficient quantities of GLP-1 for the desired metabolic outcome (based on most recent evidence and findings). If feasible, this is exciting because it is much harder to gate this therapy via the medical industrial complex (primarily insurance, pharma, PBMs, etc).

Scientists May Have Found a Natural Alternative to Ozempic - https://news.ycombinator.com/item?id=43874436 - May 2025

arkh

> GLP-1s also appear to quell addictive behavior around alcohol and hard drugs

Being on D2 agonist which has the exact opposite effect I wonder what taking both would result in.

ipsento606

> It just doesn't seem to work with everyone

Without a very precise definition of "work", these discussions quickly degrade to near uselessness.

There is a very large difference between "telling patients to exercise more and eat less doesn't result in long term weight loss" and "exercising more and eating less doesn't result in long term weight loss"

The former is true, and the latter is not.

I agree that from a clinical perspective the former definition is more relevant than the latter.

SAI_Peregrinus

It's also "exercising more and eating less until you reach a target weight" doesn't result in long-term weight loss, while "exercising more and eating less for the rest of your life" does result in long-term weight loss.

HarHarVeryFunny

The way Ozempic works is basically by controlling desire so you eat less - it's the eating less (less calories consumed) that makes you lose weight. As you lose weight you will also be able to exercise more easily, which again will help to lose weight (more calories burnt).

At the end of the day it is just about diet and exercise - not eating more calories per day than you are burning via exercise.

mschuster91

> Plenty of people have lost weight sustainably with diet and exercising. It just doesn't seem to work with everyone.

The problem is, staying healthy is a matter of privilege.

You need to be able to afford to eat healthy (ultra-processed industrial food that's loaded with sugar is often much cheaper than quality produce), even if you have money, a decent chunk of Americans live in areas that are classified as "food deserts" [1], even if you are not in a food desert you still need to be able and have time to get to a store selling quality food, and you need someone with time available to cook healthy meals out of that. It used to be easier back in the time where one income was enough to feed a whole family and the women stayed as housewifes to actually do that, but these times are (thankfully) long gone.

Exercising suffers from similar "problems of privilege". Either you got the money and time to spare to go to a gym, or you got the money and space in your home to install your own gym... or you need actually safe roads where you can walk, jog or bike, and most of the US is so utterly car-dependent that it is outright unsafe to walk.

And on top of that you got the whole "living while Black" issue, with egregious instances like a pregnant Black woman arrested for walking her dog [2] - it's no surprise that the Black and Indigenous population has noticeably higher rates of diabetes [3] or oral health issues [4].

And on top of that, you got the whole issue with educating children about healthy foods, their parents being too poor to afford healthy foods, and that setting up these children for childhood obesity which perpetuates into adulthood. A lot of that is closely correlated with ethnicity and wealth as well.

It's a systemic issue, an insanely complex one at that, with no easy solution to be found - and certainly not a failure of any individual to stay healthy.

[1] https://en.wikipedia.org/wiki/Food_deserts_in_the_United_Sta...

[2] https://ca.news.yahoo.com/pregnant-black-woman-ticketed-walk...

[3] https://healthequitytracker.org/exploredata?mls=1.diabetes-3...

[4] https://doh.wa.gov/sites/default/files/legacy/Documents/Pubs...

impendia

Strongly agreed.

Recently, I found a gym with group training classes which I absolutely love. They have a great sense of community, and now that I've found them I find it easy to motivate myself to show up and work out.

I have the good fortune that I can afford the $150/month fees. Not everyone can.

HarHarVeryFunny

I think I get what you're saying, but surely the same could be said about all self-control issues. Exercise and diet is "all" it takes to lose weight, but the question is whether you have the self-control to do that yourself.

toomuchtodo

Self control and will power are loaded terms for chemical and electrical operations of the brain; executive function is an improvement. Regardless, it isn't magic or special, just wetware ops. Bugs in the human hardware or software? We patch the human, if we can and if they wish.

HarHarVeryFunny

I wouldn't call it bugs - more cultural. Approx. 40% of Americans qualify as obese, compared to 28% of Canadians, 19% of Spanish, 15% of Swiss, etc.

https://data.worldobesity.org/rankings/

I'm originally from the UK (now US), which doesn't score so well either (28%), but the differences are obvious - massive portion sizes in US from deli sandwiches, foot long subs, movie buckets of popcorn, giant size sodas. People driving everywhere rather than walking.

thesz

It is actually exercise and diet, that drive reward and hormones.

For example, exercise has appetite suppression effect [1].

[1] https://med.stanford.edu/news/all-news/2022/06/anti-hunger-m...

Diet has appetite suppression effect [2].

[2] https://pubmed.ncbi.nlm.nih.gov/25402637/

SketchySeaBeast

Man, my diet suppressing hormones must be in the same place as my runner's high because when I get home from a long run the thing I want to do most is have a snack.

anon291

Yeah I cut down to one meal a day and after a year I just CANNOT eat as much as I used to. The result is permanent as far as I can tell. Or at least it will take me a year of going back to old habits to make my stomach big enough again

cataphract

If it were just a "hormone and brain chemistry issue" there wouldn't be huge differences across populations that can't be attributed to only genetic factors.

beejiu

True if you assume we can't change the (societal) reward environment we live in.

toomuchtodo

What does the data tell us?

https://www.cdc.gov/obesity/adult-obesity-facts/index.html

https://www.who.int/news-room/fact-sheets/detail/obesity-and...

https://en.wikipedia.org/wiki/Obesity_in_China

https://en.wikipedia.org/wiki/Obesity_in_India

https://www.bloomberg.com/news/articles/2025-03-03/china-ind... | https://archive.today/UeI7X

https://www.thelancet.com/journals/lancet/article/PIIS0140-6...

> Rates of overweight and obesity increased at the global and regional levels, and in all nations, between 1990 and 2021. In 2021, an estimated 1·00 billion (95% uncertainty interval [UI] 0·989–1·01) adult males and 1·11 billion (1·10–1·12) adult females had overweight and obesity. China had the largest population of adults with overweight and obesity (402 million [397–407] individuals), followed by India (180 million [167–194]) and the USA (172 million [169–174]). The highest age-standardised prevalence of overweight and obesity was observed in countries in Oceania and north Africa and the Middle East, with many of these countries reporting prevalence of more than 80% in adults. Compared with 1990, the global prevalence of obesity had increased by 155·1% (149·8–160·3) in males and 104·9% (95% UI 100·9–108·8) in females. The most rapid rise in obesity prevalence was observed in the north Africa and the Middle East super-region, where age-standardised prevalence rates in males more than tripled and in females more than doubled. Assuming the continuation of historical trends, by 2050, we forecast that the total number of adults living with overweight and obesity will reach 3·80 billion (95% UI 3·39–4·04), over half of the likely global adult population at that time. While China, India, and the USA will continue to constitute a large proportion of the global population with overweight and obesity, the number in the sub-Saharan Africa super-region is forecasted to increase by 254·8% (234·4–269·5). In Nigeria specifically, the number of adults with overweight and obesity is forecasted to rise to 141 million (121–162) by 2050, making it the country with the fourth-largest population with overweight and obesity.

ChildOfChaos

Considering how expensive it is, I'm surprised so many people are doing it.

Here in the UK, I'd much rather just cut my diet a little bit. Faced with the choice of eating less or paying around £250 a month for the maintance dose, that's actually a huge motivator to get me to diet.

glp1guide

Also relevant, compounders are being sued by Eli Lilly right now. The compounding loophole is being welded shut:

https://glp1.guide/content/eli-lilly-suing-glp1-compounders-...

Only a partial patent expiry for Semaglutide in 2026, then full in 2033:

https://glp1.guide/content/patent-expirations-for-glp1-recep...

lanfeust6

There's no free lunch, and anecdotally I know people who've gained back weight both after surgery, and after Ozempic. These are not tools that let you "do whatever you want" and still lose weight, but people have been sold the expectation that no habitual change is necessary. Even if your satiety is dialed back, some products are relatively non-satiating yet calorie-dense (e.g. sugary drinks and alcohol, junk food and deep fried foods).

You don't get to binge for free. In the words of Alan Carr (of "the Easy Way to Stop Smoking" fame), if you view a change in dietary habit as a sacrifice, for instance focusing on healthier food, then you will not succeed.

All that being said, it may still be useful. A popular view of pharmaceuticals for primary disorders like for instance insomnia is that they can help "bridge the gap" or get a start and recovery, but that they cannot be relied on in the long-term. Your chemistry adapts. That is similarly the most generous view I have of these products.

Anyway, the WW approach has obvious limitations for the same reason low-fat or low-carb does. In WW they use an arbitrary point system to obfuscate restriction, by encouraging protein and low-calorie density foods. Some foods are 0-1 in points (e.g. 0% cottage cheese), some are high regardless of how healthy they are (avocado). You can easily see the problem with this: you quickly hit a wall where you aren't automatically reducing calorie intake by mere virtue of what you are eating. The same thing happens with low-carb and low-fat: what are you going to do once you've cut out all fat and all carbs? Eat negative-carbs?

For sustainable WL of a large amount of weight, there is no way around counting. You cannot "intuitively" do it. And here it's important to stress that there's a major difference between avoiding weight-gain, and losing weight. If you're a person of average weight, you don't need to worry about counting jack if you simply have good eating habits. This is not enough when it comes to caloric restriction.

edit: re reduced cravings, some don't just overeat from physical cravings, but for emotional satisfaction. A binge session on comfort food is not about hunger. This is something to be addressed through therapy.

mrcwinn

Hopefully during restructuring they can follow a plan to get leaner in a sustainable way.

null

[deleted]