• jetA
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    2 months ago

    Using your line of argument (and removing the moral failing side) perhaps my wife lacks the personal responsibility to lose weight effectively.

    Okay. So then what?

    Are we to simply accept that a shortened life expectency and infertility are inevitable?

    That doesn’t seem a good way to

    Obesity is not a moral failing, it is a lifetime of incorrect dietary advice and encouragement.

    Low carbohydrate, ketogenic, diets have all of the benefits of GLP-1 drugs without any of the downsides. TLDR: The big problem with obesity in the world today, and diabetes, is people’s immense carbohydrate intake, coupled with processed food. These two things alone account for metabolic dysfunction in the population.

    What that means for real people, is they can join a health program like virta health if they need support, change their diet slowly to be lower carbohydrate, monitor their biometrics, have support groups to talk to to change their habits, see and celebrate the results they get from a new eating pattern

    Food is actually more powerful than medicine. We have to be deliberate about the food we take on.

    • Flamekebab@piefed.social
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      2 months ago

      Literally the first line of my comment that you quoted is me stating that it’s not a moral failing. I feel like I couldn’t have been any clearer on that front.

      I’m sorry, but it just irks me and makes me immediately unnecessarily hostile.

      Anyway, trying to simmer down a bit…

      I would absolutely agree that better nutrition is key. However the kinds of systemic and personal change needed will take decades to have an impact on a societal level.

      Long term solutions are crucial but having things that work in the short and medium term to pave the way make it a lot easier to reach the long term solutions.

      Taking my own example, let’s say such a programme were to work for my wife - how long would that take? Would it be fast enough to beat menopause? She’s 38 now and this solution improved her quality of life dramatically and is helping us not repeat the mistakes of her parents with our own child.

      We’re not looking for a quick fix, but a leg up. If we can improve people’s perceptions of themselves it’s a lot easier to get buy in for further lifestyle improvements. If one is already dramatically overweight it’s much easier to be defeatist!

      • jetA
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        2 months ago

        Sorry, didn’t mean any offense.

        having things that work in the short and medium term to pave the way make it a lot easier to reach the long term solutions.

        Ketogenic eating works today, right now, for individuals

        let’s say such a programme were to work for my wife - how long would that take? Would it be fast enough to beat menopause? She’s 38 now and this solution improved her quality of life dramatically and is helping us not repeat the mistakes of her parents with our own child.

        Depends how strict they can be, 1 to 2 kg per month is normal, women tend to hit a plateau earlier on ketogenic eating, where their body goes through a period of recomposition where the weight doesn’t reduce, but the fat is still being burned. So it’s important to evaluate these interventions not just by overall weight, but waistline, or body composition scanners if you have access to one

        We’re not looking for a quick fix, but a leg up. If we can improve people’s perceptions of themselves it’s a lot easier to get buy in for further lifestyle improvements. If one is already dramatically overweight it’s much easier to be defeatist!

        Completely agree. The important thing is to provide people an optimistic path. I’m a big fan of programs like virta because they provide lots of different modalities to meet people where they get the most motivation and feedback to stay on track.

        I have looked at a few studies, and ketogenic diets outperform the GLP-1 drugs in total weight loss, and in muscle retention in every study I’ve looked at.