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Being fat is a trap

Being fat is a trap

337 comments

·June 6, 2025

timcobb

> but you have the choice to step out of the fat trap.

People should also talk about the volition trap. I'm 40 and it feels like I've had more than a life's worth of people talking about how "you can do it if you just try!"

> ... advertising signs that con / you into thinking you can do what's never been done / meantime life goes on all around you

The sheer scope of the obesity pandemic should make it clear that we are not the problem, that our volitions are not the problem. Certainly so many people can't be too weak to regulate one of the most basic facets of existence? How did we come all this way as a species if we are so fundamentally flawed at basic metabolic regulation? Certainly so many people shouldn't have to try so hard? Sure, some people succeed, but in world where the overwhelming majority are failing, maybe "trying harder" is just akin to insanity?

xnx

A lot of people mentioning willpower but not as much attention is given to the fact that everything in our millions of years evolutionary design is biased toward heavy reward for caloric foods, and within the past 100 years we are suddenly in an environment where those cravings can be fulfilled in abundance.

blooalien

> ... "within the past 100 years we are suddenly in an environment where those cravings can be fulfilled in abundance."

And an environment where a massive completely out of control advertising industry that's injected into pretty much everything these days abuses every psychological trick in the book to capitalize on those evolutionary cravings.

ethbr1

This. If the ad industry put half as much effort into promoting healthy eating, we wouldn't train everyone to eat poorly and/or excessively at a young age.

FFS, look at how long it took to get calorie counts on menu signage! And that's the lowest hanging fruit.

1. Fix fast food + the ad industry by financially penalizing pushing unhealthy food.

2. Rework the food supply chain to support healthier eating. (Less ultra-processed, shelf-stable items, more easy-to-cook healthy options + increase availability in food deserts)

Between lost productivity and end of life health expenses, I can't believe there isn't an economic argument for this.

chneu

A modern diet is a restrictive diet. We live in a time when half of our produced food is thrown away. That's why veganism makes so much sense nowadays. Nothing about the modern diet is "natural" for most people.

Meat was awesome when calories were sparse/intermittent. Now it's just excess for the sake of a status symbol. Same can be said about a lot of our foods.

gruez

>We live in a time when half of our produced food is thrown away.

I don't see how this is a relevant fact. If we threw away 10x the food does that make our diet even more unhealthy? Moreover if technological innovations like refrigeration decreases food waste, does that magically make our diet healthy again?

>That's why veganism makes so much sense nowadays. Nothing about the modern diet is "natural" for most people.

>Meat was awesome when calories were sparse/intermittent. Now it's just excess for the sake of a status symbol. Same can be said about a lot of our foods.

If you turn back the clock even more (ie. pre-agriculture), you'd probably see the reverse (ie. more meat consumption).

nradov

Meat is awesome when you need an optimal mix of nutrients — not just empty calories. Of course it's certainly possible to get the right proportions of macronutrients and sufficient micronutrients on a vegan diet but it takes a lot more planning and attention to detail.

swat535

How does veganism help in this case? The problem is not meat, the problem is junk food, high sugar and carbs.

If by "veganism", you simply mean healthy diet, then I agree.

xorcist

Something being evolutionary is not an argument for anything. Just like something being natural isn't necessarily good for you.

Sometimes I really really want to punch a certain coworker in the face, but I still don't, and that's despite the temptation by "evolutionary design".

xnx

I agree. I really like wearing shoes for example.

It's still worth noting everything in our programming wants us to consume sweet foods, but this is maladaptive in the modern world.

abirch

I love Dr Jason Fung. His position is that our current system focuses on calories and not eating all the time, not avoiding processed foods, being insulin insensitive, and eating real food. Here's a good video: https://www.youtube.com/watch?v=OgmFEb0b0TI His hypothesis is that having high levels of insulin is the issue.

People need to remember that being insulin resistant and being overweight are chronic conditions. You won't be able to fix them overnight. Don't focus on decreasing calories, focus on eating real food. The article mentions this too.

One thing that was counterintuitive to me is that most people's bodies produce insulin in response to artificial sugar so there's no real difference between diet coke and coke on your body.

birksherty

In India, most people don't take huge junk food. They still get diabetes because of calorie heavy food and eating all time without letting the stomach get empty even for a minute.

It's the food addiction. People can't stop eating just like alcohol, cigarette or drugs.

const_cast

> How did we come all this way as a species if we are so fundamentally flawed at basic metabolic regulation?

IMO: because we have always had nowhere near enough food. Agriculture revolution was what, 10,000 years ago? That's a blip.

It's entirely possible in my mind that the same mechanism and behaviors that fuel obesity were actually helpful for almost all of human history. It's just now, like right now, that they're a problem.

And it becomes even more obvious to me when I look at other animals. I look at my cute dog. If I gave him infinite access to food, I have no doubt he'd be dead by the end of the week. Is he stupid? Is he broken? Or was he never intended to be in that situation?

Jensson

> IMO: because we have always had nowhere near enough food. Agriculture revolution was what, 10,000 years ago? That's a blip.

I think its the opposite, agricultural is much more reliable food so then population could grow until everyone barely starved. Before then people either had more food than they could use or they just died from starvation, people generally lived better lives before agriculture but there were much less people.

The reason we grow fat is because its good to be fat when you are a hunter gatherer, since there is more food than you can possible eat when you kill a large animal you just eat as much as you can, and then you survive better if you don't find another kill for a while.

Agriculture only started to produce enough food for everyone when we human stopped multiplying, before then starvation was only a few generations away as people would multiply exponentially until there isn't enough food again.

stonemetal12

>Certainly so many people can't be too weak to regulate one of the most basic facets of existence? How did we come all this way as a species if we are so fundamentally flawed at basic metabolic regulation?

There have been fundamental shifts in CI and CO. Food went from fundamentally scarce and requiring effort to fairly abundant, and the effort to acquire keeps going down. Over the course of US history we have gone from farmers to factory workers to desk workers. Each of those transitions has lowered "natural" daily CO, as such each one has brought about weight increases.

>"trying harder" is just akin to insanity?

Yes, try smarter. CI/CO is true but I find it to be bad advice because a) it is damn near impossible to measure, and b) straight forward CI/CO changes can lead to opposite results.

What I find works for me:

Cut CI a little bit, large calorie cuts can slow metabolism. Up CO a little bit, exercise boosts metabolism even when not working out. Anerobic is better at boosting metabolism than aerobic.

Food wise, sugar and salt drive the human appetite. Reducing them will help you not feel as hungry while reducing CI. The other is just get used to eating less. Low food days help reorient to smaller meals feeing right. By "low food day" I mean find something small, low sugar, and salt (personally I use unsalted peanuts) when you feel hungry stop and focus on the feeling and try to determine if it is actual hunger or just habit hunger, if it is "real" hunger then eat a handful of peanuts and wait 15min before you reevaluate. The day after eating less will feel normal.

alamortsubite

This is all great. It also helps to drink a lot of water.

ccorcos

I don’t want to disagree with you but I have a hard time with preaching that people are not be personally responsible for themselves.

I get your point that genes are important and some are blessed while others are not. But regardless what your genes are, you need to find a way to take care of yourself. You are not entitled to someone else taking responsibility for you and your problems.

philistine

> you need to find a way to take care of yourself

Here's the crux of the issue; for most people who are fat, finding a way to take care of themselves is so onerous, complex, and difficult that they're not technically stuck, but they're effectively stuck. If you need to drive more than an hour to get access to food that won't be terrible for you, it's not surprising that so many people have a problem.

ccorcos

Their choices led them to get stuck and their choices are the only thing that can get them unstuck. Maybe they don’t want to get unstuck, who are we to tell people how to live?

nh23423fefe

But no one needs to eat above BMR? Eat whatever you want but control the portion.

Who is shoving food down your throat for years on end?

Tadpole9181

Slowly getting into fasting is not onerous, complex, and difficult. It just sucks, especially when you're physically addicted.

johnrob

Societal norms are the problem. We’ve normalized unhealthy food. Big business has figured hit that if they make processed/refined foods easily accessible, you will buy them. Nobody wins here except shareholders, and only those shareholders in good health who don’t have to compete to get access from doctors who are overbooked with patients who have manifested a chronic illness that is statistically correlated with the aforementioned food.

_fat_santa

> The sheer scope of the obesity pandemic should make it clear that we are not the problem, that our volitions are not the problem. Certainly so many people can't be too weak to regulate one of the most basic facets of existence? How did we come all this way as a species if we are so fundamentally flawed at basic metabolic regulation? Certainly so many people shouldn't have to try so hard? Sure, some people succeed, but in world where the overwhelming majority are failing, maybe "trying harder" is just akin to insanity?

At least in the US where the problem is much worse than in the EU, I would say the major driving factor is the lack of cheap healthy foods.

We're starting to get more healthy options in the US but the problem I see again and again is that food is always painted as "trendy" and therefore commands a higher price. I can go into McDonalds and buy fries and a cheeseburger for around ~$5. But if I try to get a healthier option from another place I'm looking at $10-15 for just about anything.

Every time I travel to Europe or Latin America I'm always shocked at how easy it is to find cheap healthy food. I can pop down to a local fast food place and for around $5 get a piece of chicken, beans and rice. This by no means fancy but it's solid healthy food.

narratives1

I’ve heard this before and just don’t get it. Buying healthy food is generally cheaper, or just as expensive in my experience. Buy some vegetables, some chicken, some fruit, eggs. These are generally very affordable, you just have to cook with them.

Sure, buying Just Salad is more expensive than buying McDonald’s, but that’s not the only options.

The bigger problem IMO: we put way more sugar, sweeteners, and addictive substances in food and have big portions where people feel obligated to finish. It’s very easy to eat 100g of sugar every day and hardly notice. Combine that with most American activities involving food and alcohol.

We have a culture that encourages eating and food that responds by being more eatable

CBLT

A couple of years ago, I was researching modern food science (for unrelated reasons). What really struck me was how focused we are on product longevity. Everything must have low available water in order to survive warehouses, transit, and shelves. Sugar, sodium, oils, and phosphates are all just tools to accomplish this.

Put another way, the bag of chips at the American grocery is _designed from concept to factory_ to be unable to support living beings. Microorganisms would die from dehydration trying to eat the chips. But due to a bug in human psychology, when we eat them we just feel more hungry. There only regulating feeling we get is guilt.

Jensson

That is because Americans shop every 2 weeks so things need to last 2 weeks.

In other countries that shops more frequently there is less need for that, and there these products has much fewer additives.

ac29

> Put another way, the bag of chips at the American grocery is _designed from concept to factory_ to be unable to support living beings.

This is a weird leap. Yes, there is some degree of modern engineering in packaged food to prevent spoilage but "unable to support living beings" is the wrong conclusion. You're implying the food lacks nutritive value, which is not true.

jrs235

>At least in the US where the problem is much worse than in the EU, I would say the major driving factor is the lack of cheap healthy foods.

And portion sizes! There a several factors that lead to such large portions. Americans expect (and now desire, thanks to the ever expanding gut lines) to be stuffed from an ordered meal so producers spend the extra $1 on food costs to ensure larger portions and fewer complaints. We'd complain is the the $9 burger was made into 1/3 sized $3 burgers. Additionally the fixed costs of running a food joint require to low cost and high margin items (like fountain soda) to survive.

Jensson

Portion size isn't an issue if you make your own food like most of the world does. But that is just yet another reason why Americans are fat I guess, its easier to get fat when you don't cook the food you eat.

frakt0x90

But if you go to the grocery store, enough beans and vegetables to last multiple meals will run you $5...

CBLT

Watch other people shop at the grocery store. They buy the vegetables, beans, raw meats, and dairy. They spend more time there than anywhere else on the store.

Watch what other people eat in their day. How many of their calories came from meals created with only the above ingredients? 25%?

alecst

I’m thin but I agree with you, I don’t have to think or try to be this way, I just am. I do probably have healthier habits than average. But still, it comes naturally to me. I would feel awful and exhausted if it took willpower all the time just to maintain my weight.

fpereiro

Hi HN! OP here. Thank you everyone for reading and commenting. Thanks to your feedback I have done the following edits to the post:

- Added a comment on GLP-1 agonists. I wrote the article like it was 2023, not 2025. These drugs now exist and their benefits massively outweigh their drawbacks, particularly for people that really need help. Anything that helps out of the trap, particularly with this effectiveness, should be front and center. Thank you for pointing it out.

- Added a comment on my take on the usefulness of exercise for this process. I don't believe in exercise as a calory burner, but as something you need in order to be strong, fit, flexible and feel better mentally. It supports you in your journey. Exercise in order to burn calories to get lean is counterproductive. It is a thick wall of the mental fat trap.

- I realize that my struggles (and I don't say this lightly) have been a small fraction of what many of you had to go through, or are still going through. I also mentioned this in the article now. For some, it can be ten, a hundred, a thousand times harder than for others to break free from being overweight and be able to regulate their food in a way that is mentally healthy.

- I also added this: "Incidentally, I don't think this is about willpower (this is another parallel with Carr's insight). The decision to change comes from a deeper source. When I was most obsessed about asserting willpower over my eating, I was having the worst time and making bad choices. Getting out involves awareness, work, and a willingness to fail and keep on trying. The authors above say it much better than I can."

Hope again this was helpful for those with like struggles.

thijsb

good article, I can (unfortunately) relate. another aspect of the trap is when you have set backs (stress, life events) or get tired (long days, less sleep, emotional events) typically the first recourse is to stop the hardest parts: physical fitness, e.g., you take a car instead of bike/walk, skip sports, alcohol instead of water. it's sometimes a vicious circle, you're tired due to overweight, thus eat more to get energy, making you more overweight.

SonOfLilit

I have extremely lucky genes and have managed to stay just within the green BMI range despite eating all the carbs and fats you can imagine and at times consuming 200-300g of milk chocolate a day.

Some of my friends are obese despite exercising heavily every day.

Finding ways you enjoy to keep an active lifestyle is a great idea, probably the highest impact thing you can do for your long term well being (for people in this community I strongly recommend trying rock climbing or martial arts, especially BJJ, both very mentally challenging sports).

However, author's recipe doesn't work for everyone, and you shouldn't feel terrible if it doesn't work for you. Also, I'm hearing amazing things about those new drugs.

dahart

> Some of my friends are obese despite exercising heavily every day.

I’ve been chubby despite heavy exercise most of my life. It took me at least 30 years to come to what now seems like the dumbest most obvious realization:

Exercise makes me strong. Food makes me fat.

Now I think of them separately, to a first approximation, as the high order bit. To affect change to my strength, I first need to modify my exercise habits, and to affect change to my weight, I fist need to modify my eating habits. Of course I’m not saying you can’t burn calories exercising, but it’s actually been extremely helpful in my weight loss goals to mentally separate exercise from eating. Instead of thinking of exercise as _the_ way to lose weight, I think of diet as the primary tool, and exercise as something that is primarily for strength and activity and only secondarily for weight control.

The reason I’ve been fat despite exercise is, of course, because I naturally compensate for exercise by eating more. For me, I was eating until I feel a certain level of fullness, and that level seems to be slightly too much regardless of how much physical activity I do. Finally realizing that I don’t need to exercise harder, I ‘just’ need to track what I eat, is what finally actually worked. But like the article says, simple is not easy; I air-quoted the ‘just’ in that last sentence because successful food tracking is mentally difficult.

One of the fun side effects of tracking my eating instead of thinking of exercise as the primary weight loss tool is that with respect to food, exercise sort-of reversed it’s function for me, in a way. Instead of thinking of it as my weight loss tool and relying on it to compensate for what I ate, I sometimes use exercise to allow me to eat more when I’m hungry or want a treat. It’s funny, I know I said the same thing two ways, but my mindset changed almost 180 degrees. When I’m in a calorie deficit, I’ve noticed that days I don’t exercise I get more tired and hungry than days I do exercise.

OkayPhysicist

To support what you said, there has been exactly one time in my life where I was exercising enough that it affected my weight, and that was when I was playing water polo for 3 hours a day, every day. That is a level of exercise that just about no one will put themselves through, where even your down time is spent treading water. And all that working out? Equivalent to pretty much one meal you'll get at a restaurant. And makes you ravenous, so the real reason it worked was that it capped out my availability of food, not my appetite for it.

ac29

As the saying goes, weight is lost in the kitchen.

Exercise is absolutely invaluable for general health but its not effective alone for weight loss for most people.

narratives1

I’ve come to understand “getting in shape” is literally that. Food just gives your body energy and nutrients, how you use your body decides what shape it’ll take (how it directs that energy and nutrients).

wiseowise

> I have extremely lucky genes and have managed to stay just within the green BMI range despite eating all the carbs and fats you can imagine and at times consuming 200-300g of milk chocolate a day.

You’d be surprised just how little you eat. I’m also like that, thinking that I eat shitton and don’t get fat at all while my friends can’t lose 5 kilo. When I’ve started counting, even with all the junk food, I’ve been barely pushing above 1,5k.

OkayPhysicist

People don't realize how wildly appetite varies between individuals. Thinner people tend to think they eat a lot, because they're fulfilling their appetite. Fatter people often think they don't eat that much, because they're rarely full. IME, that's the thing that varies far more than actual metabolism stuff.

ZephyrBlu

Yeah this is correct. I eat whatever I want, snack a lot, etc. Never been fat because I just don't eat that much in aggregate.

maketheman

I averaged 4,000+ calories per day in high school through the first couple years of college. Almost all junk food—pizza, chips, crackers, eggo waffles, french fries, that kind of thing. Enormous amounts of soda. Milk shakes. Cappuchinos and mochas, in the later years.

All I did for activity was ride bikes some and lift weights a little, plus usual kid stuff, no serious sports or training.

I had visible ab muscles and would get a full-on six pack if I did e.g. a lot of swimming in a week. During those times I'd have relatives concerned I was sick or something, my face would get so gaunt.

Metabolisms are weird. HGH and T are basically magic I guess? I truly have no idea where all that energy was going. Must have been mostly coming out the other end unprocessed, I suppose, or else somehow used up by my gut biome. Can't figure any other way.

blargey

Counter-anecdote: I have a smallish build and have well-tuned satiety, but a consistent measured TDEE of 2400~2500 kCal, and would go hungry and waste away at 1.5k.

I agree there’s no substitute for measuring your numbers. But meticulous calorie and weight tracking is probably a big ask for the average person, even though it’s imo absolutely necessary for controlling your weight one way or another.

Erwin

Spending some months with a TDEE spreadsheet can be helpful but requires logging a lot of CI and weights -- if you go to any online TDEE calc you might overestimate your activity level.

I was surprised that running 6h/week and 15k/steps a day gave me an TDEE activity level at barely above "Light Exercise" and I need about 2460/day.

The "Moderate" activity level is if you actually work construction and haul bricks all day!

silotis

Yep. I have IBD and have to track calories to keep my intake _up_. It's shocking how much food you have to eat to get much more than 2k a day.

swat535

It's not at all difficult if you are eating junk food. For example a single Medium Pizza alone is enough to fill your entire day's worth of calories.

I know because I've experimented with this when I started measuring my weight, heck sometimes having a single Wendy's Baconator will not only fill your entire calories but even make you gain weight.

Your activity levels of course also matter but I'm assuming sedentary lifestyle.

This is much more different for healthy foods however.

Zealotux

>Some of my friends are obese despite exercising heavily every day.

Exercise -- even heavily -- will never compensate a bad diet; that focus we have on exercise as weight control is detrimental.

binary132

What it does do is improve your metabolism and health, both physical and mental. This can improve lots of your processes. Neglecting exercise is absolutely destructive and restricting calories does not get you those things, in fact it can work against them. Building muscle also helps burn calories and improves insulin response. Obviously, it is not enough on its own without a healthy lifestyle as a whole.

modo_mario

I think focusing on anything solely is detrimental but focusing on exercise as an aspect is good.

- eat a bit less food

- eat food that is higher on the satiety index

- eat food that has less easily absorbed calories/less processed/etc

- build muscle to raise your resting metabolic rate slightly

- sleep well

etc

I think a bit of everything with mostly a focus on less calories will be easier to adopt than just telling people to track calories into perpetuity and feel like they're starving for a good while.

nradov

I doubt it. There is no real evidence for genetics playing a major role here. You are probably underestimating your friends' energy intake. Exercise is great for many reasons but you can't outrun a bad diet. They're probably eating a lot more than you think, especially when you're not around.

ChrisMarshallNY

The new drugs work; just not for everyone. Some folks won't react well to the drugs. For others, there's no reaction, but they don't affect their cravings.

I have several friends that have had miraculous weight loss, as a result of Ozempic.

gruez

>I have extremely lucky genes and have managed to stay just within the green BMI range despite eating all the carbs and fats you can imagine and at times consuming 200-300g of milk chocolate a day.

>Some of my friends are obese despite exercising heavily every day.

An often overlooked factor is how much snacking is done. If you eat "all the carbs and fats", but they're contained to a single meal a few times a week, and the portions are reasonable (ie. you're not stuffing yourself every meal), that has far less caloric impact than someone eating "salad" everyday, but loaded with dressing and snacking voraciously on the side.

SonOfLilit

Oh no I snack all day every day. Can still taste those cashews from a few minutes ago.

cowsandmilk

I had an overweight BMI when I could run a sub 3-hour marathon, I’ve concluded my body just doesn’t match the normal range.

gruez

Since BMI can't differentiate between fat and muscle, it breaks down for people who are very muscular. That said, most people are sedentary and hardly even exercise, so BMI is a good approximation. The people who are very muscular are probably well informed about this caveat that no buff bodybuilder thinks they're the same as an overweight person just because their BMI is the same.

hiq

It bears repeating that BMI at an individual level is at best a hint that something is wrong (and never that someone is healthy).

Another point is that you can be good athletically speaking and yet have too much body fat to be considered healthy. An extreme example is that of professional fighters in open-weight categories.

francisofascii

Great point. This comment reminds me of Mary Cain, who was fast and dominant until she joined Nike and Salazar tried to get her to lose weight. It became clear the lower weight impaired her health and performance.

nunez

Or BMI is a bullshit health metric. Ask any bodybuilder or powerlifter.

almost_usual

Visceral fats leading to diabetes can be present without someone being visibly overweight.

Similarly people who appear overweight may have low volumes of visceral fat. Health is hard to determine without analysis and testing.

adamgordonbell

Losing weight is hard. Maintaining weight is easier, except that you have to do it forever.

It was incredibly hard and took me a long time to lose 15 pounds as a always had been skinny person whose weight slowly crept up.

I've never been obese and I'm sure it's super challenging to change, considering how hard loosing 15 lbs was for me. But if I were, I do think I'd try a GLP-1 agonist to get my weight down.

yetihehe

> Losing weight is hard. Maintaining weight is easier, except that you have to do it forever.

That second part makes it harder. Losing weight was pretty simple for me, but maintaining that low weight was much harder. Someone said that it takes about half a year to form a habit. I maintained lower weight for about a year, then it came back.

sorcerer-mar

IME the key is a very simple mindset shift. People generally try to ignore or overpower the sensation of hunger. That is super, super difficult over long periods of time. Instead what they should do is very directly and explicitly manage that felt sensation.

The key insight is that your sensation of hunger is primarily driven by the weight of your stomach (not the caloric contents or volumetric fullness of it).

So the question is how do you increase the weight of your stomach (decrease sensation of hunger) without increasing caloric consumption. You just eat a lot of low caloric density foods!

Divide calories by grams on the nutrition label. Lower is better. Replace as many items as you can in your diet with the nearest alternative that is of lower caloric density.

Nonfat greek yogurt and seitan are the two biggest hacks ever. Adopting this mindset will also probably astound you how many calories modern engineering can fit into a gram. Would be a pretty great achievement if we had to trek long distances, but here we are munching on this stuff while sitting all day.

dahart

This is extremely good advice! In particular, I agree completely the key is to figure out mentally how not to frame the problem as a willpower issue or as overcoming hunger. That is a setup for failure and feelings of shame. Making it about self-control and avoiding temptation is the worst thing you can do.

Yeah I instinctively did the same thing once I finally was able to bring myself to counting calories. Once you have a budget, you want to game the budget to feel full, so it makes veggies start looking a lot more attractive, and things like chocolate easier to avoid.

For me one of the big byproducts of this thinking is that my feeling of fullness was mis-calibrated a little bit. As a result, when I’m full according to my calorie counter, I think about how what I’m feeling is not hunger but the correct level of full. I’m recalibrating what full means to me, and believe it or not it actually helps me to not feel like I’m trying to overcome hunger.

okwhateverdude

Adipocytes live like 10 years[0]. You need to maintain for a long time for those cells to die off. Otherwise, it is easy to regain.

[0]:https://en.wikipedia.org/wiki/Adipocyte#Cell_turnover

ido

> if I were, I do think I'd try a GLP-1 agonist to get my weight down.

Don't they only prescribe these for the morbidly obese? As someone "merely" overweight (BMI ~27) I'd like to try but I don't think I'm fat enough to get a prescription.

pkwy

I was around 27 as well. I’m a big guy with a muscular frame but put on extra weight over the last 2 years of intense company building. If you can get a prescription (Hims will prescribe) you may have to pay out of pocket, but worth it IMO. They may want you to be at 30 BMI, but that is easy to fudge on their intake (they won’t do any validation of your intake numbers). Commit to a few months of extreme dedication and let the financial impact be a motivator.

Reassess progress towards your renewal (we did 3 months). It’s literally cheating, in the best way.

ryandrake

I think the definition of "fat enough" will come down quickly as these drugs become better understood. If the side effects are mild or manageable, why not prescribe it to anyone who even comes within striking distance of "overweight"? There are other kinds of medications, like those for high cholesterol, where it's a no-brainer to just start taking them when your cholesterol crosses some threshold.

hollerith

>no-brainer

Many experts including cardiologists maintain that the current mainstream protocols for statin drugs do more harm than good.

cartermatic

For better or worse, most of the online pharmacies like Ro or Hims will prescribe it to anyone with a pulse. Some insurance companies don't cover it unless your BMI is over like 40.

ido

Pretty sure these aren’t available to me (in Germany), I will have to get an actual prescription.

EbNar

Agreed. I lost about 10 kg back to ~60 kg of the teen myself (now I'm 50). It took quite a lot of exercise but that was the easy part. The most difficult part was avoiding eating off hours apart from avoiding alcohol and sugar altogether. Now. Maintenance is surely easier.

On a side note, I keep exercising at least 2-3 hours per week and honestly I feel physically much better than I used to feel in my 30s.

almost_usual

Alcohol destroys any diet. I’m amazed how much more energy I have and how much weight I’ve lost being sober.

OkayPhysicist

In my experience, beer is the biggest one. I got gout young (which my weight didn't help, but mostly truly cursed genes), and beer was/is a huge trigger. Turns out excruciating pain is a hell of a motivator, so all my beer consumption was swapped out for equivalent alcohol amounts of liquor pretty much overnight. I lost a significant amount of weight over the next year.

devoutsalsa

What's working for me now is just deciding what I want to weigh, but I couldn't do that for years. First I had to learn to actually control my eating, like not eating every time I felt like stuffing my face, getting enough sleep so I wasn't constantly fighting urges, and figuring out how much I need to walk to burn off extra calories.

'Just eat less and exercise more' never worked because I needed to learn how to do these smaller skills myself first. Once I learned what it actually takes to eat less and actually exercise more, that simple advice started becoming possible. It's still a work in progress.

CuriouslyC

To chime on this topic as one that's also quite personally relevant to me, I was obese as a youth. I got extremely into physical culture and healthy eating and pushed myself to become an elite athlete so that I would have another positive feedback mechanism for my diet and exercise habits besides just looking good. This worked quite well, and for years I enjoyed going to the gym 5 days a week and eating a strictly regimented diet because in addition to looking phenomenal I was chasing records and tracking clear metrics that I could derive satisfaction from on a weekly basis.

This part of my life ended in December 2020 when I was t-boned by a drunk driver going 130Mph. I'm no longer able to engage in intense exercise the way I once was, and the combination of my physical limitations and emotional issues (in addition to losing my life-long hobby and being in constant pain, my son had birth complications in 2022 and required brain surgery, and is now heavily special needs) pushed me towards alcoholism and emotional eating. I gained a _lot_ of weight, and my previous strategies no longer provided me with the guardrails and motivation to deal with the problem.

I've always had an issue with insatiable appetite my entire life, and while I was able to deal with it via a militantly regimented lifestyle and mindset change, I recognize that solution is itself incredibly challenging to implement (if it's even possible in an individual's case). Thankfully Monjourno was able to help me address the problem, and I look forward to GLP medications becoming more widely available as I do think there are a lot of people who suffer from appetite dysregulation due to genetics and emotional trauma who shouldn't have to wage an epic battle with their body to feel normal.

maztaim

For me, quitting tobacco was simple, don’t use. Quitting alcohol was simple. Don’t drink. I cannot simply abstain from eating. I can relate to the struggles and feelings from this article.

ThatMedicIsASpy

Cannabis made me lose 20kg in a short span (~2 months). But the main reason was extreme loss of appetite. I cooked normal and after 40% of a plate I was full.

You do this for a few days and then you start changing your cooking habbits. This was a year ago and I've held the weight since and simply started eating less. My old eating habbits did not make me gain weight though as my old weight was constant for 10 years.

My main liquid is 98% water. I cant stand soda unless its mixed with 90% water.

amarcheschi

Tea is a nice alternative to water, and I say this as someone who doesn't like most drinks other than water.

There's a huge variety of tastes among green teas, white teas, oolong, black teas... Specific tea variety, different locations where the plants are grown, different manipulations, all concur to a lot of different tastes. However, a lot of people I've met just say it tastes like "earthy/dirty water"

ableal

> There's a huge variety of tastes

And a lot of those are not "tea" (with theine/caffeine), they're herb infusions such as mint, hibiscus, chamomile, etc. You can drink as much as you want without getting the typical caffeine buzz.

I particularly like the Morocco Mint & Spices that Lipton sells.

ThatMedicIsASpy

A warm drink is something I hate. No tea/coffee for me. Ice tea is something I would still thin with 90% water + 10% ice tea

stronglikedan

Why would anyone drink tea when there's coffee!?!

friendzis

> I cannot simply abstain from eating.

Eating is usually (insert a number of asterisks) not a problem, more often than not it is snacks snacks.

The problem is twofold. First, snacks are typically extremely calorie dense. Even a small snack can easily offset caloric deficit coming from reduced portions. Second, leptin, the satiety hormone, is barely secreted from carbs, which are again calorie dense and main ingredient of snacks.

With these two in mind, it is no coincidence that it is hard to not overconsume snacks and snacks quickly lead to caloric surplus.

netdevphoenix

You don't need to abstain. You can either eat less or simply eat more low caloric food (greens, potatoes, lentils, etc)

spiffytech

Many people find "cold turkey" to be an effective way to discontinue bad habits or addictive behaviors. It's brutal, but carrying it out is simple and binary.

You can't do that with food. Your only choice is to develop moderation, restraint, and discipline. You're forced to always be around temptation. To always indulge at least a little, but hopefully somehow not too much.

This is much harder to do. And you have to keep doing forever — even when you're tired or stressed or bored or whichever feelings trigger your bad habits. For life.

"Eat less" / "eat veggies" is a mechanical solution to an emotional and physiological problem. The GP is highlighting that some tools we apply to similar problems can't be applied here, and so we see poor results and higher recidivism.

narnarpapadaddy

The point is that black and white, all or nothing is easier for many to stick to. It’s easier to not be tempted by a cigarette if you never see one or hang out with someone who smokes. With food, you can’t take approach.

netdevphoenix

That is fair but you can't pretend all food is bad when that's not true. That is what I took issue with. You can eat as many greens and lentils as you want. No such thing with cigs

doix

Except stopping is much harder than not starting. I can relate, I can go weeks/months without drinking. But then I have a beer and it turns into 10+ before the night is over.

I'm lucky I don't have the problem with food, because you cannot just avoid it like other "bad habits".

netdevphoenix

"You don't need to abstain". This is the beginning of my message

cubefox

But we can presumably learn to abstain from eating certain things. Like sweet food and sweet drinks. Or certain foods with high fat content. We can learn to eat some things rather than others. It hard to get fat from eating too much of a healthy diet.

cenamus

Eat only every other day? Fast one week on and off? All entirely possible.

sorcerer-mar

Do you have friends or family? This is a ridiculous proposal for 99.9% of people.

Jensson

Just don't eat when they do? Its not hard to say no, I do that a lot.

liveoneggs

You can recognize foods that trigger the addiction cycle and quit those.

koonsolo

You could split eating into meals and snacks. And for snacks, you can totally quit it. And according to my experience, it's the snacks that cause the extra weight.

So quick snacking.

lanfeust6

I mostly agree, though you could generously say the analogy would be "don't consume high-cal/low-satiety junk foods". I don't think one needs to deprive themselves forever of any indulgence to lose weight, but maybe some find it easier to fully abstain.

dkarl

Some people are going to ding him for including exercise, and it's true that the physical calorie expenditure of exercise won't achieve much for weight loss unless you make cycling a major hobby. However, I think exercise goes a long way towards loosening the mental trap. It helps you build an identity as a healthy person, it relieves the guilt about not taking care of yourself, and it takes the edge off of emotions like anxiety. All of these things make it easier to avoid excessive eating. I don't think exercise is a must-have for everybody for weight loss, but I think more people should try it, and I think it gets overlooked because most of the claims about the calorie burn aspect of it haven't stood up.

bluetidepro

There is also something to be said about doing exercise at a gym/class and seeing other healthy/fit people. It gives you practical evidence right in front of your eyes on how you COULD look. As well as likely becoming friends with people in those spaces that also have healthy habits. I have always found that motivation to be very strong.

AstroBen

> unless you make cycling a major hobby

Cycling specifically is incredibly good. It's easy to stay at a low-moderate zone 2 effort you can maintain for many hours, unlike running. It's also very easy on your body

lanfeust6

Exercise is also a very strong predictor of long-term success in keeping weight off. Plus it's important for overall health anyway. Protects lean body mass, so that when you're shedding the pounds, you lose less muscle and more fat.

That's one effect people are less aware of. One reason your metabolism drops as you lose weight is you can also lose lean body mass. Muscle and organs.

tonyedgecombe

It also helps with stress which is a major contributor to overeating.

cubefox

Exercise is also something you can "get into". For example, you force yourself to go to the gym a few times, or to go running a few times. And then you start beating your previous records, at which point you get more ambitious. You try to research the best supplements on the web, or the best pull-up bar for at home, and before you know it, you are transforming into a "gym bro" without previously intending to. It's remarkably easy to get into various obsessions, even if they are entirely healthy.

ericmay

One of the pillars of weight loss is "eating right" as we all undoubtedly know. It's eating whole foods, fresh fruit and vegetables, fish and lean meat, and all that good stuff.

If you ever go to a nutritionist they'll tell you that, and they may even give you recipes!

But this is mostly an exercise in futility. Why? Because going to McDonalds tastes better. So people will revert and not solve their problem. Diets don't work, and new fad diets come out, and the industry cycle continues.

The problem with diets and lifestyle changes that are proposed in common social discourse is that we are always missing the most important step which is teaching citizens how to cook. As a nation I wish we would spend more time focusing on good culinary skills, and that is an investment that would pay dividends not only in healthier waistlines, but also in an increased interest in the quality of our food and produce.

ffsm8

As a single almost 40yo overweight man I've gotta disagree.

McDonald's doesn't taste better, it tastes worse, but what working adult has the time next to their day job to eat healthy?

You have to be either

1. Rich enough to be able to spend a premium at restaurants for most of the week

2. Be rich enough to have a partner that doesn't have to work a 40-50h work week

3. Be rich enough to have a personal cook

4. Not work and get by via other avenues.

ericmay

Well you just have to prioritize, unfortunately.

If you want to lose weight - and part of my comment was a critique on nutritional advice and dieting - or save money or just cook for the enjoyment of it you have to make time to do that.

It's not easy. I work full-time and do other things. I'm tired. I don't want to drive to the grocery store. it's Friday I want to relax, etc. and sometimes I don't cook! But it's just another life choice to make and we can be better and more consistent over time and make improvements without going straight to 0 eating out.

orev

Unless you’re working 16h per day, every day, you have time to cook. There are many things that are very easy to cook and don’t even take that much effort, but people just refuse to learn how to use the tools they have.

All you need is an oven and some baking pans, and you can easily make a well balanced meal in less than an hour. Roasted chicken, potatoes, vegetables. Done. There’s only a little bit of prep, then it’s mostly waiting.

The biggest impact of industrialized food companies is not their poor products, it’s that they convinced everyone that cooking is too hard.

em-bee

Unless you’re working 16h per day, every day, you have time to cook.

if you are single, sure. but as soon as you have family, those calculations go out the window. worse if you are a single parent. long commutes, a stressful job...

8 hours work, 8 hours sleep, 1 hour commute, 1 hour lunch, 1 hour in the morning, 1 hour spending time with my kids (means i do what they want), 1 hour TV to relax. 1 hour exercise/go for a walk. that leaves me with 2 hours for everything else. housework? shopping? keeping in touch with others? go out to meet friends/family?

i love cooking. i did it all the time before i got married. i rarely went out to dinner. but as soon as i got married i had to stop. i couldn't afford the time that i needed to dedicate to it to do it right. it's more than just the process, it's the planning, the shopping, etc.

it's not a question of time, but priorities. for most people 18 hours (sleep, work, commute, lunch) are spoken for, and everything else has to fit into the remaining 6 hours. yes, you can move things around. you have time to cook if you can delegate. that just never worked for me. at best i can delegate washing dishes and other housework.

AstroBen

To expand on this further: You can make a well balanced meal in less than an hour. You can make 5 well balanced meals by cooking 5 times the amount and dividing it up for 15% extra time

Cooking takes hardly any time when you're smart about it

ac29

100% agree that people should cook more.

But your example of roast chicken in under an hour is misleading since it doesnt include the time to go grocery shopping or to clean up. Add those in and your roast chicken dinner is probably taking up at least 2 hours.

j_w

People who say that they cannot cook on a 40h work week are just inefficient at cooking. It sucks to take a long time to prepare meals, but you will get faster.

When you first start cooking for yourself you'll easily double the times online recipes say. As you get better at prep and more of an understanding you'll eventually reach their times. Dishes afterwards are included in this: most recipes have downtime that you can entirely clean up during.

etblg

Buy a bag of rice, a bag of frozen veggies (corn, carrots, peas, already cut up), some chicken thighs, throw it in a rice cooker, that's a meal right there, almost no effort.

Roger Ebert wrote a whole cookbook about using the rice cooker, guy loved the thing, makes for a very easy meal.

ericmay

Yea I agree too. It really is a skill. The first few times you cook a dish you are reading a recipe maybe, oh whoops forgot to cut the celery, ugh this is stressful! but then by the end of a few attempts you start to get much better and much efficient at it.

I get that not everyone wants to cook though, but for those who do or want to eat healthier food you can do it and you WILL suck the first few times you cook anything because you're a human being and you haven't done it before.

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insane_dreamer

> Because going to McDonalds tastes better.

this is a problem for a some people

however for many more people, the issue is affordability

unhealthy food is cheap and widely available

healthy food is more expensive and in some neighborhoods unavailable -- so there's the cost and effort of going somewhere where you can actually get it; food deserts are a real thing, while soda and chips vending machines are ubiquitous

this is why there are much higher rates of obesity among lower income populations

it's a solvable problem (not entirely, but it's possible to greatly reduce levels of obesity), but there seems to be very little social willpower to fix it

ericmay

Idk, McDonald's doesn't seem that cheap to me but I haven't been in quite some time. Food deserts are a real issue, but if you're driving to McDonald's you can just keep on driving to the grocery store IMO.

There's an educational piece, a motivational piece, and a marketing piece (you'll be like Lebron James if you eat Burger King!!! or whatever) and lots of other general barriers. But it's a problem that we can make progress toward.

Though with all this being said I had hoped to really convey the problem of nutrition advice which misses the component that matters the most which is cooking proficiency. You eat out because it tastes better, but it tastes better even if you could make the same thing at home, because you don't know how to cook or cook well enough.

(not you specifically of course :) )

insane_dreamer

> McDonald's doesn't seem that cheap to me but I haven't been in quite some time

I don't go either, but I do know that it's cheap compared to healthy alternatives (especially organic); the immediate availability is a huge factor as well

> t's a problem that we can make progress toward

agreed; what really bothers/saddens me is that there seems to be so little social desire to do so -- probably because there's no money to be made from solving the problem, and lots of money to be made from letting it be and "solving" the symptom (but not the root problems) post-hoc with big money-makers like ozempic. it's disgusting.

iamwpj

I tend to agree. It's pretty easy to have cooking skills that out pace the trouble of driving, waiting, and ultimately only kind of enjoying fast food.

The advice I give people when rarely solicited, is that you work all day to ensure you have food and shelter. 1/3 work, 1/3 food, 1/3 shelter. If you routinely don't have time to cook and enjoy your food -- frankly, what are you doing with you life? Planning a menu, shopping for groceries, cooking meals, these things should take up your time! It's what you need to be doing. That's the point of this all!

ericmay

Completely agree - we focus on spending time rushing to get food and things so we can get back home and spend time scrolling, but we should actually be spending time, in my humble opinion, cooking and enjoying life. I think over the long-term people in America will recognize this more and more.

Also, after a while you realize at least outside of some dishes like maybe ramen or something like that, you can cook day-to-day better than just about anywhere you can go out to eat. It also makes you appreciate really good restaurants a bit more too. At least that has been my experience.

mamonster

>Reduce refined carbs, unhealthy fats and alcohol from your diet. Focus on getting enough vegetables, fruits, complex carbs and healthy fats.

Alcohol is by far the biggest one(was the case for me). Used to work at a place where "lets go grab a pint or two after work" was the norm every day. A pint is like 250kcal, you do that for a month you will gain like half a kilo easy.

Liquid calories in general are the most dangerous thing because of how easy it is to ingest.

EduardoBautista

I am going to be blunt here. Why is everyone using time as an excuse? In fact, it should be easier to lose weight if you are truly busy, because the only thing that will make you lose weight is eating less.

This whole idea about exercising to lose weight is unhelpful when the truth is that no amount of exercise is going to compensate for eating more calories than you have to.

And yes, you will go to bed slightly hungry for weeks or even months if you want to lose a lot of weight.

imzadi

The less time you have, the harder it is to make healthy choices. You're more likely to grab fast food or something that is easy to throw together in the microwave. It's not just time, but also energy. The more you work and the harder your job, the less energy you have to expend on preparing food. Add in mental health issues and/or chronic illness, and you have even less energy. Usually, when I say I don't have time, I mean that I don't have energy. I don't have enough time to mentally prepare myself for the task, then execute the task, and then recover from doing the task.

EduardoBautista

It takes the same amount of time to quit all sugary drinks and alcohol and only drink water for the rest of your life. It’s an extreme, but just doing that alone will save you a couple thousand calories a month.

Fast food doesn’t necessarily mean high calorie either. Almost all fast food places have meals for under 600 calories, yes even McDonald’s.

imzadi

Why do people always think fat people are drinking sugary drinks? I can't stand sugary drinks. I don't drink soda. I don't put sweetener in my coffee. I mostly drink water.

arp242

It's not so much about "time", but rather mental bandwidth. It takes effort and energy, that you may not have if you have lots of things going on.

When people say they "don't have the time" this is often what they mean.

It's like the joke from Airplaine!: "Guess I picked a bad time to quit smoking", "Guess I picked a bad time to quit drinking", "Guess I picked a bad time to quit sniffing glue", "Guess I picked a bad time to quit amphetamines", etc.

chneu

Somewhat on/off topic, but I'd also wager that a lot of folks who call themselves "busy" are really just bad at time management. They're not so much "busy" as they are wasting a ton of time and then using that lost time as an excuse to not have to do things.

So they are busy but it's because of a lack of time management which then plays into their inability to make good dietary choices. Being "busy" is their excuse and they make it happen by not managing their time.

Things like having to hit up starbucks before work, which wastes 10-15 minutes. Then going to grab lunch instead of bringing it from home, which wastes 45 minutes. Then they spend a large amount of time doing their outfit for the day, which wastes time in the morning. 30 minutes on social media before/after bed. Etc. These things add up to hours every day. And then "I'm too busy to eat healthy" comes out.

I say this cuz I know plenty of people who are "busy" but still manage to make great choices. I've noticed it has more to do with how people manage their time and the priorities they make throughout that time management. Time management is a skill that needs to be worked on. When one avoids managing their time well then of course they're going to be so inefficient that things get difficult.

EduardoBautista

This is true. I don't meal prep myself since I am fortunate enough to be able to afford a meal delivery service where I can then just microwave my meals, but meal prepping can be done for about an hour a week, two hours at most if you want to get fancy.

mrgoldenbrown

Eating healthy takes more time than eating junk. The busier I am the less time I have for food shopping and the more likely I am to be away from home and need food, which means eating out.

dnpls

Also cooking. If you don't have your groceries sorted and a little planning for prepping some meals ahead, suddenly you have a fridge full of ingredients and nothing to eat.

EduardoBautista

No it doesn’t. Just eat half of what you order while eating out. Save the rest for later. Now you have two meals instead of one.

A huge part of eating healthy is eating less.

nemomarx

being able to still focus and complete your daily busy schedule while restricting is a different sort of obstacle, so that mostly moves the costs around.

I found the best weight loss success eating about 1200 or 1300 measured calories a day and using a fairly strict routine, but it left me on edge and distractible. And that kind of diet has social costs too - much more of a pain to eat with coworkers at lunch, for instance.

CICO is easy to say, but the trick is actually knowing both of those measurements and being able to control them.

HPsquared

I think people forget that mild hunger is a normal part of existence.

bitmasher9

I think people are oversensitive to hunger stimulation.

A small amount of hunger will completely distract some people, cause them to become overly emotional and overspend.

Jensson

Probably because they aren't used to it, its like how people in warmer climates wear more clothes for the same outdoor temperature since they aren't used to being cold.

keiferski

I think the obesity problem isn’t a unique one, but is in fact emblematic of a “class” of problems that are prevalent in the modern world.

They are all characterized something like this: the problem is on the face of it an individual one, with individual solutions. Just stop eating so much. Work out. Eat less unhealthy food. Etc.

But a deeper look and you see that the overall system makes it difficult or impossible for the average individual to really solve the problem. Because it’s too complex, too expensive, takes too much time, and mostly because the framework around “solving the problem” is still locked into the individual mindset.

The same pattern is in voting or affecting the democratic process (an individual action is what matters, but it simultaneously doesn’t really do anything unless you are wealthy/have free time to be an activist.)

Curbing social media addiction is another. It’s seen as an individual problem, but fighting against it requires you to essentially be against the entirety of society.

These are all consequences of the world getting more complex but the tools for dealing with that complexity not keeping pace.

The solution is maybe that we need a new agent or entity that operates in between the individual and the system. Traditionally that was something like your local neighborhood, extended family, etc. but nowadays I don’t think it really exists, because the solutions have been offloaded to individual-focused ones.

For example, there are apps which let you order healthy groceries every month that are delivered to your door. But it’s an individual thing, not a group or community one. You as an individual need to organize and order this stuff.

AstroBen

I don't think you need to do the things the author says. Based on their definition I'm in both a physical and mental fat trap.. but I've maintained ~12% body fat and a healthy BMI my entire life. I also:

- can gain weight, and fat, easily. I've intentionally done it when weight training

- have gone through periods of years where I exercised very little. Certainly not daily exercise or even their prescribed 7500 steps. No weight gain

- can't really trust myself with food. Put a bunch of snacks in my house and they'll be gone very quickly

I think the things that are really making a difference is simple, and more strategic: I know how many calories the foods I eat have (was very into weight training in the past), I cook 90% of my own meals (usually 4-5 days worth at a time so I'm not tempted to order - I can just reheat) and I don't keep junk food in my house

That last point is huge. They sent me a free pizza with my grocery delivery the other week - I threw it out. I've thrown out countless bottles of coke/pepsi I'm sent for free. If I keep it around I'll eat it