We May Have Passed Peak Obesity (ft.com) 92
An anonymous reader shares a report: The year 1963 was surely one of the most significant of the 20th century. President John F Kennedy was assassinated, Martin Luther King delivered his "I have a dream" speech, and the Beatles recorded and released their debut album. But for all the huge political and cultural events, it was arguably an even more momentous year for public health: 1963 was the year cigarette sales peaked and began to fall in the US.
A generation from now, we may look back on 2020 in a similar way. Yes, there was the small matter of a global pandemic, but this may also have been the year obesity levels ceased their inexorable rise and began to descend. Around the world, obesity rates have been stubbornly climbing for decades, if anything accelerating in recent years. But now newly released data finds that the US adult obesity rate fell by around two percentage points between 2020 and 2023.
We have known for several years from clinical trials that Ozempic, Wegovy and the new generation of diabetes and weight loss drugs produce large and sustained reductions in body weight. Now with mass public usage taking off -- one in eight US adults have used the drugs, with 6 per cent current users -- the results may be showing up at the population level. While we can't be certain that the new generation of drugs are behind this reversal, it is highly likely. For one, the decline is steepest among college graduates, the group most likely to be using them.
Crucially, the US National Health and Nutrition Examination Survey, which reported the unprecedented decline in obesity levels, uses weight and height measurements taken by medical examiners, not self-reported values. This makes it far more reliable than other surveys. American waistlines really do seem to be shrinking. What makes this all the more remarkable is the contrast in mechanisms behind the respective declines in smoking and obesity.
A generation from now, we may look back on 2020 in a similar way. Yes, there was the small matter of a global pandemic, but this may also have been the year obesity levels ceased their inexorable rise and began to descend. Around the world, obesity rates have been stubbornly climbing for decades, if anything accelerating in recent years. But now newly released data finds that the US adult obesity rate fell by around two percentage points between 2020 and 2023.
We have known for several years from clinical trials that Ozempic, Wegovy and the new generation of diabetes and weight loss drugs produce large and sustained reductions in body weight. Now with mass public usage taking off -- one in eight US adults have used the drugs, with 6 per cent current users -- the results may be showing up at the population level. While we can't be certain that the new generation of drugs are behind this reversal, it is highly likely. For one, the decline is steepest among college graduates, the group most likely to be using them.
Crucially, the US National Health and Nutrition Examination Survey, which reported the unprecedented decline in obesity levels, uses weight and height measurements taken by medical examiners, not self-reported values. This makes it far more reliable than other surveys. American waistlines really do seem to be shrinking. What makes this all the more remarkable is the contrast in mechanisms behind the respective declines in smoking and obesity.
Crackerlation is not cheesation. (Score:2)
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I know that a lot of junk food doesn't taste the same for me either. This was, I'd say, a couple years ago at least?
In other news, I was also put on Ozempic two weeks ago. Diabetes in my case, we'll see if I get weight loss - I'm still on the introduction "probably not effective" dose to get my body used to it.
My mom's been on it for a while, and while still obese, she's a lot lighter than she used to be.
Watched an old movie (Score:2)
There was a lot of smoking in it. I can't believe people thought that was cool. "I'm so fucking macho and badass. I'm inhaling lung cancer!".
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Also want to point it .. forgetting the lung cancer part .. how does consuming a mind-altering chemical make you cool? It's like you can't handle your emotions so you resort to mind alteration. That seems weak.
Re: Watched an old movie (Score:5, Funny)
I can handle stronger emotions than you can, so I enjoy mind alteration while you fear it.
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So you require a chemical to provide you emotions? What leads you to do that? You're unsatisfied with the states your mind can provide on its own?
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So you require a chemical to provide you emotions? What leads you to do that? You're unsatisfied with the states your mind can provide on its own?
Can we assume that you do not consume any substances that interact with your thought process in any way? It is simple to crap all over smokers, but in today's world, there is a set of people who take multiple antidepressants, ecen atypical anti-psychotics are gobbled like candy, yet many of those who do look at smokers as if they were the worst people on earth.
I can get a little euphoric taking antihistamines. Indeed Benadryl was one of the very first anti anxiety drugs. I don't take it for anxiety, perh
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Why are you so concerned with other people's choices about their own lives?
Mind your own business.
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If I use exercise, meditation, and stress management tricks to manage my mental state what's the big difference?
one red car. One, two orange cars. One, two, three yellow cars....
That might calm you down when you're having a bad day but it doesn't change anything... how's that any different than drugs?
What about exercise? Are the neurotransmitters released on a treadmill better than the ones from my morning coffee?
Or is all self care and self improvement weakness as well?
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You appear to be under the impression that things you consume do not alter your brain chemistry. That's not the case. The question is how, and by how much, and so your limit is "by some amount". Define that amount, and tell us why it's the right amount.
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Re:Watched an old movie (Score:4, Insightful)
All the smokers know each other because they chat while taking breaks on the back loading dock.
They also know the smokers in adjacent companies. So when we need to borrow a pallet jack, one of our smokers talks to one of their smokers.
Alas, there is no comparable camaraderie among fatties.
Couldn't agree more (Score:1)
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Also want to point it .. forgetting the lung cancer part .. how does consuming a mind-altering chemical make you cool? It's like you can't handle your emotions so you resort to mind alteration. That seems weak.
Do you drink coffee? Because if you do, I have news for you. I'll bet you've never had an endorphin rush from working out either.
And a lot of us enjoy mind alteration because it can be fun, inspiring, and reflective. Looking down on people for doing something you are too scared to do doesn't make them weak. It means you are weak.
Re: Watched an old movie (Score:2)
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It really could be that smoking has masked bad dietary changes by reducing appetite and increasing metabolism. A terrible trade-off with other conditions of its own. When smoking rates went down, obesity went up. It doesn't explain the reduction of obesity recently, but I would have expected obesity to hit much more quickly based on the foods being sold.
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There was a lot of smoking in it. I can't believe people thought that was cool. "I'm so fucking macho and badass. I'm inhaling lung cancer!".
Lung cancer is the least of a smoker's worries. Most people who smoke don't ever get lung cancer but smoking causes all kinds respiratory issues in addition to a host of other health problems. Smoking can fuck with your cholesterol levels, liver, heart, veins, bones, bladder, stomach, eyes, and kidneys. Smoking can cause erectile dysfunction as well as increasing your likelihood of having a stroke.
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There was a lot of smoking in it. I can't believe people thought that was cool. "I'm so fucking macho and badass. I'm inhaling lung cancer!".
If you think that’s crazy go back a few more years. You’ll find the medical doctors who were promoting it as “healthy”, which is why Hollywood thought it was perfectly fine.
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I dropped five pounds once I was WFH.
No more donuts in the break room.
Which axis? (Score:5, Funny)
...uses weight and height measurements...
So, Americans are eating the same amount, but getting taller?
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Both, because obesity can be roughly calculated as a ratio of weight to height.
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So, Americans are eating the same amount, but getting taller?
No. The average American's height peaked in the 1960s and has since plateaued.
Part of this is due to immigration. Immigrants from Asia and Latin America tend to be shorter than average Americans.
Re:Which axis? (Score:4, Funny)
So, Americans are eating the same amount, but getting taller?
No, this is far more American than that. Americans are eating the same amount but using prescription medication to prevent getting fat. The only thing which would be more American is if they got the medication prescribed at a McDonalds drive-through.
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That's not how these medicines work. They stop you feeling hungry. You eat less, so you lose weight.
Shrinking with Drugs? (Score:3, Insightful)
Shrinking with drugs is not something to be proud of.
Sure, it's great we have this in our toolbox for extreme cases, but the average person should just live a more active lifestyle, not indulge in weight loss drugs. Obesity is not the only measure of health.
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Re:Shrinking with Drugs? (Score:4, Insightful)
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"Just eat more kale", you say? Yeah, if you're rich you can do that but going completely organic is expensive as hell and nearly impossible in any event.
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"Just eat more kale", you say? Yeah, if you're rich you can do that but going completely organic is expensive as hell and nearly impossible in any event.
Organic is pointless. What you eat has a lot more to do with your health than organic or not. I promise you the most GMO mass farming grown lentils in the world are going to be better for you than organic free range sustainable bacon.
The issue is that in a market dynamic I've noticed that you basically have 3 criteria: healthy, tasty, economic. Food can meet any 2 of those criteria but the market will adjust to make sure you don't have all three. Sushi (the non elaborate kind like just salmon or tuna ni
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Yeah it's funny how every fatty was incapable of losing weight for genetic reasons or whatever and now that there's a drug to make them eat less, suddenly it's a fitness revolution.
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The weird thing about this society is the active lifestyle costs too much money. It used to be only the kings ladies were fair, (stayed out of sun) and the king had gout and obesity. Now its only the rich who are tanned and thin. It has nothing to do with laziness. So many jobs where you can be working 60 hour weeks and get little sun or excercise, because your operating some equipment nonstop.
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Activity is good for general fitness, but common levels of exercise aren't particularly effective for weight loss.
People have to eat less, more slowly, and drastically reduce their sugar intake (sugar affects appetite and encouraged gorging).
Pigging out and then taking pills to compensate is just so... Weak. Adults appear to require reminders that they are responsible for their actions when mommy and daddy are no longer controlling their lives.
Re: Shrinking with Drugs? (Score:2)
It really does not help though that kids are not encouraged to eat healthier either.
I remember back in grade school how our teachers treated us to pizza parties and those sugar cookie abominations from Costco or Safeway. On top of sugary beverages like sodas and juices and the rather abysmal state of the average school lunch, we are basically screwing up their metabolism from the get-go.
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I was raised on Coke. And milk, my parents weren't monsters. But way too much Coke. S'OK, they paid twice for fillings; baby teeth and adult teeth.
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We're basically made of drugs. Hormones and neurotransmitters and steroids all that stuff is how our body is controlled, including where willpower comes from, you can't have willpower without neurotransmitters. Now I suspect taking drugs to control weight is going to have some bad side-effects, since our body has some billion years of fine-tuning in regards to the various chemicals, but nothing in principle means that it is guaranteed to be a bad idea.
Of course, it's probably a good idea to find out why sud
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If it was that simple it wouldn't be such a problem for so many people.
There are numerous issues with trying to live a healthy lifestyle, especially when your job is often quite unhealthy. The real issue though is that once you get overweight, your body *really* doesn't want you to lose it.
These medicines fix a flaw in the human body, which was not designed for modern life but rather a time when food was often scarce. That's why it gets fat - it's storing that energy for times when you can't get enough calo
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It doesn't matter if its something to be "proud of". Pride itself isn't something to be proud of.
Its a drug that reduces appetite and thus reduces caloric intake. Weight loss is the natural result of that.
It makes no sense to go all "that doesn't count! you cheated!" because they used a drug to accomplish their goals - its not a competition.
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It doesn't matter if its something to be "proud of". Pride itself isn't something to be proud of.
Its a drug that reduces appetite and thus reduces caloric intake. Weight loss is the natural result of that.
It makes no sense to go all "that doesn't count! you cheated!" because they used a drug to accomplish their goals - its not a competition.
Personally I think this is a disgusting circle to have greed create a problem and then to turn around and formulate a solution by piling on even more greed to solve it rather than addressing the root cause in the first place.
What is the going rate for a single dose of Ozempic et el? How many thousands of additional dollars a year will people have to spend for this privilege? What are the health costs from drug side effects?
As the saying goes "cheaters never prosper".
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This is a common prejudice. My wife hates taking any kind of medicine, even when she needs it.
Drugs are only a bad thing when they are abused. When they clearly improve the quality of life for people and improve their health, I see no problem with taking advantage of what modern medicine has to offer.
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Dieting is not easy. It makes me grumpy, including for this reply. The human body evolved to work on farms or hunting-and-gathering most the day, not desk jobs.
Yes, I could spend yet more of my free time on the damned treadmill or whatnot, but until you try it, don't fuckin judge!
Gimme the damned drugs so I can moon you with my skinny hairy pale ass.
Drugs are not the real answer (Score:2, Insightful)
Note that I'm not making any judgements of anyone or suggesting what the 'root cause' is in actuality, but I am saying that if your body is working the way it's supposed to work, you shouldn't have to take medication in order to control your body composition; finding the real cause(s) would be best.
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Not all of us are natural twigs.
And those old pictures you see of slender people in the early 20th century are actually pictures of malnourished people whose growth (and intelligence) was stunted in childhood because of poor nutrition. Most of their teeth were gone before age 50, too.
Gain perspective and try again.
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Hookworms were also common in the 1920s.
Nothing keeps you slender better than intestinal parasites.
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Hookworms were also common in the 1920s.
Nothing keeps you slender better than intestinal parasites.
Oh I dunno, I’ll bet the laudanum kept the ladies too high to eat for a while.
And let’s not forget how that good ol’ fashioned Coca(ine) Cola kept those hunger pains happy!
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At least a few root causes are relatively understood. Insulin resistance messes with your metabolism, seemingly permanently. That combined with a stretched out stomach capacity and you will not easily get thin through willpower alone because your body doesn't work the same.
What's not understood is the cure. Even after losing all the weight, the body still gives hunger signals for the same amount of calories it was getting during obesity. GLP1 drugs like Ozempic modify appetite. As soon as you stop the
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"GLP1 drugs like Ozempic modify appetite. As soon as you stop the medication you tend to regain the weight because you are just hungry all the time."
Citation please. Just because traditional dieting has this effect does not mean that GLP-1 use does. Also, GLP-1's action is much more involved than mere appetite suppression. My personal experience is that appetite is altered not much as all, the primary effect is that food is not released from the stomach, making it difficult to eat much and creating huge
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Citation please. Just because traditional dieting has this effect does not mean that GLP-1 use does.
That's right in the studies on the approval of the drug.
My personal experience is that appetite is altered not much as all, the primary effect is that food is not released from the stomach
My raincoat doesn't keep my dry. It just makes the water move around my body. Pressure on the stomach walls from food is part of the signaling system for appetite and hunger.
It has been long believed that Type 2 diabetes is permanent and incurable. That turns out to be false.
Yeah, not talking about that. It was also believed that fat cells only get bigger in adulthood through weight gain but didn't increase in number - that was found not to be true. Obesity can lead to a higher number of fat cells as you gain weight. However, weight loss does not d
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Secret: People drive everywhere and eat too much. When they are on their feet they move like old people fuck.
I've had two major sedentary periods of my life and during both of them I had a slew of seemingly unrelated issues. The rest of the time I've been a fitness nut and could smoke, not sleep, get blackout drunk, and as long as it wasn't a habitual deal I could just shrug it off.
Nobody wants to hear that shit though, it sounds like work and if everyone was sitting around pumping iron and getting high
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While that may be true, it's not helpful. Without knowing the "real cause(s)" we cannot know if obesity is just a side effect of a benefit, and if our bodies are "working the way they're supposed to work", most of us would die young and many others would starve.
What I'd like to know is if so many are taking these drugs how they can possibly afford it? Especially the claim that young people are. Semaglutide medications costs $100-$1400 a month in the US? How are young people paying for that?
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I'm getting ozempic through my insurance. I'm a non-insulin using diabetic.
That said, the actual cost to make a month's supply of ozempic is only $0.89-$4.73 [newsnationnow.com].
Basically, it'd be the usual answer: People are normally covered by insurance, who pays nowhere near list price for the drugs. The only ones paying list are those on medicare and such.
And most of those on it are older - that's when type 2 diabetes tends to be around the most.
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Drugs like this 'ozempic' may be helping, but it's not the real answer, it's treating a symptom, not the root cause. Note that I'm not making any judgements of anyone or suggesting what the 'root cause' is in actuality, but I am saying that if your body is working the way it's supposed to work, you shouldn't have to take medication in order to control your body composition; finding the real cause(s) would be best.
I agree. There has been some research that tells us that that obesity and endocrine disruptors are linked. https://www.ncbi.nlm.nih.gov/p... [nih.gov] Those weight loss drugs like Ozempic and Wegovy are not without risk either. Slender people with pancreatitis might look better on their hospital bed, but I suppose it is a risk people want to take to be "beautiful."
Research is looking into the possibility that they might cause pancreatic cancer. Some say there is no risk, but yes pancreatitis is a risk. Our "The
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In the UK you have to be clinically obese to get these medications prescribed. So it's more than just looking better, and even if there is an increased risk of cancer, it has to be compared to the risk from obesity related diseases.
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They can be, in the absence of something better.
I have severe allergies. Regular antihistamines like Claritin and Allegra don't help me. I have to take Flonase every day, and have for years. I've tried allergy shots, but they didn't help. So until there's a better solution, I'm stuck squirting Flonase up my nose every day. That's a "less than perfect" solution that I can live with.
For a lot of over-eaters, weight-loss drugs are a less-than-perfect solution that still makes their lives better, and seems to p
Of course (Score:2, Troll)
The recent drugs help, but kill off a portion of the population and you'll see a change in some statistic. This would be like finding a large increase in the deaths of Russians between 2022 and 2024. I wonder what was going on then.
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What a disgustingly absurd and ignorant comment. Less than 1% of the population died of COVID, inconsequential in this context AND most of these people did NOT "die young enough" to avoid reproducing. Also, "fat kids" is not a genetic condition you piece of shit.
"This would be like finding a large increase in the deaths of Russians between 2022 and 2024. I wonder what was going on then."
No doubt you think this is a clever observation. Some things "going on" are causal, others are not. Understand the dif
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A large portion of people who died from covid were obese [cnbc.com]. Remove them from the pool and of course a decline will be seen. If they died young enough they weren't able to reproduce which means no fat kids. Are people with obesity from endocrine disruptors on your list of people who deserve to die because they aren't slender?
You might think that obesity is a sign onf weakness that needs removed form the gene pool, Unfortunately there is no cure for smugness, and feelng superior.
Peak Accountability. (Score:4, Insightful)
A global pandemic that came with the risk of death if you had the comorbidity of obesity, wasn’t the reason. Insane increases in the cost of groceries or shrinkflation, wasn’t the reason. Not even younger people seeing first hand the insane medical cost of being overweight and simply wanting to eat better and be healthier, wasn’t the reason.
Nope. Society ONLY lost weight because of weight loss drugs that went viral. Couldn’t possibly be anything else according to TFS. And sadly, I believe it.
What we are at peak and sustaining, is the elimination of responsibility and accountability. Damn is it fucking pathetic.
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It's not pathetic, it's just that humans were not designed for modern life. We were not designed to sit at a desk for hours, or to have access to so much processed food. Even the supposedly natural stuff is not much like it was when our bodies evolved, and food certainly wasn't so available back then either.
We also were not designed to live this long, and those of us with health problems just died because we couldn't keep up with the tribe, couldn't out run the predators, couldn't catch our next meal. As so
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Please don't confuse people's desire to become overweight sedentary slobs with "modern life". This isn't "modern life", this is "modern slackness". Just because you have a desk job and a choice of 20 take-out fast food joints on the way home doesn't mean you need to live like you're getting a cash prize for being the fattest bastard imaginable.
As someone with a chronic health issue, I don't feel ashamed or pathetic that I survived and did the best I could despite it, I feel lucky that I live in the 21st century.
You may have a legitimate excuse. Most people don't. You don't need to forage and hunt your food through a jungle to remain healthy. In fact much of the world has no
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Do you really believe that people actually want to become "overweight sedentary slobs", as opposed to say looking like Brad Pitt? Come on, be serious. Everyone would be their ideal weight and shape if it was as easy as just making some simple lifestyle changes.
this!!! (Score:2)
Do you really believe that people actually want to become "overweight sedentary slobs", as opposed to say looking like Brad Pitt? Come on, be serious. Everyone would be their ideal weight and shape if it was as easy as just making some simple lifestyle changes.
You nailed it! Given a choice of fitting in all of your clothes for the rest of your life, getting laid more easily, and looking good without a shirt on....or an extra piece of cake...are these people stupid enough to think that for nearly half the planet, cake is that delicious? It may be vanity in your 20s, but by your 40s, they're not just worried about their appearance, but also their health. Being 50lbs overweight starts having serious consequences then. Also, food gets boring after awhile. With e
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"Modern *western* life" perhaps? Obesity is not nearly as great an issue in modern Japan for example. The default diet there is vastly different to that of the US.
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"Modern *western* life" perhaps? Obesity is not nearly as great an issue in modern Japan for example. The default diet there is vastly different to that of the US.
And less dependence on cars in Japan. Public transport naturally inserts a little exercise into the daily routine, without needing to go to the gym.
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It's not pathetic, it's just that humans were not designed for modern life. We were not designed to sit at a desk for hours, or to have access to so much processed food. Even the supposedly natural stuff is not much like it was when our bodies evolved, and food certainly wasn't so available back then either.
”Processed food”, didn’t turn people into lazy do-nothings. Human exercise didn’t go extinct, for one obvious reason. It’s absolute necessity. Modern humans have MORE access to sustain a healthy body than ever before. Stop making excuses for lazy people.
We also were not designed to live this long.
Many a centenarian would disagree. So does history:
Psalm 90:10 in the Hebrew Bible appears to give seventy to eighty years as the natural life expectancy of a person surviving into old age, "The years of our life are seventy, or even by reason of strength eighty".
a bit like Elon Musk saying "stop being poor, bro" (Score:2)
A global pandemic that came with the risk of death if you had the comorbidity of obesity, wasn’t the reason. Insane increases in the cost of groceries or shrinkflation, wasn’t the reason. Not even younger people seeing first hand the insane medical cost of being overweight and simply wanting to eat better and be healthier, wasn’t the reason.
Nope. Society ONLY lost weight because of weight loss drugs that went viral. Couldn’t possibly be anything else according to TFS. And sadly, I believe it.
What we are at peak and sustaining, is the elimination of responsibility and accountability. Damn is it fucking pathetic.
It's fun to get self-righteous towards fat people and all, but your simple-minded explanation is not a reflection of reality. I don't know a single fat person over 40 who hasn't done a lot more than you've ever done to lose weight and failed. Obesity runs in my family and I have been working out 5-7x a day for nearly 30 years now. There's no junk food in my house and I live off of healthy food. My body fat has never been below 20%. Every member of my family is like that. My dad was like that in the Ma
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I think you're misunderstanding the difference between a diagnostic indicator and the disease itself. Obesity doesn't necessarily mean you have health problems, but because so many health problems are associated with obesity, it serves as a very easy indicator of generally poor health. It's easy to measure, doesn't require extensive tests, and there's a fair amount of science behind it.
Gluttony, inactivity, exercise allergies, overeating, etc... all show up as obesity. This single indicator tells the
"WE" may have (Score:2)
Why we need someone like RFK (Score:1)
Clean house at the FDA and CDC. Get the crap food off the shelves.
And mandate lifestyle changes over a pill to get back to a healthy weight.
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And mandate lifestyle changes over a pill to get back to a healthy weight.
We tried that for decades, it didn't work. Sure, keep pushing for healthy lifestyle changes, but for those already damaged by the current system, well, a pill (or injection) may be the best answer.
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We pushed for healthy eating with PSAs corrupted by entrenched interests while economic factors continued to push much harder in the other direction and culture followed.
Maybe now that nobody can afford to eat out we'll start seeing some improvement on that front, but there's still an issue with sedentary lifestyles.
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Clean house at the FDA and CDC. Get the crap food off the shelves.
Good luck with that with the current supreme court.
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Clean house at the FDA and CDC. Get the crap food off the shelves.
Good luck with that with the current supreme court.
I understand the first part of the sentiment (clean up FDA and CDC), but do you really want to remove "crap" food from the shelves? As in -- make it illegal to sell "bad" food? That is an absolutely insane premise for so many reasons.
Labeling nutritional information has done great things to promote healthier eating. But soda bans or similar were always a crazy idea.
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And while he's at it, keep people from getting vaccines, leading to widespread epidemics of diseases that were long ago conquered.
No, thank you, we don't need nutcases like RFK running things.
Not the way to do it. (Score:2)
Thriving requires that you have the right amount of stress in the right areas. You won't get anywhere good wrapped in bubblewrap, but you also can't afford to get run over by a Mack truck.
General principle, if you can't do something important for your health (or any important part of your life) because of _____, you need to deal with ____, and trying to avoid that is still going to leave you screwed, no matter how effective the drugs seem. It's not that there are no excuses. It's that you need to deal wit
Who needs drugs? (Score:2)
Lose the garbage food. Get off your ass and exercise.