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re: New diabetes medications prove the OT wrong, obesity is not always a choice

Posted on 9/7/23 at 9:09 am to
Posted by Robin Masters
Birmingham
Member since Jul 2010
33915 posts
Posted on 9/7/23 at 9:09 am to
frick the medical Industrial complex.
Posted by Purple Spoon
Hoth
Member since Feb 2005
19334 posts
Posted on 9/7/23 at 9:11 am to
Obesity is a choice. Saying otherwise is simply following the societal trend of absolving ones self of personal responsibility.

Is it harder for some? Yes
Does genetics, environment, mental stimuli, medical issues make it more difficult to control your diet in a world with endless unhealthy options? Yes

But do not say it is not a choice.
Posted by Pettifogger
I don't really care, Margaret
Member since Feb 2012
83602 posts
Posted on 9/7/23 at 9:15 am to
I lack willpower in plenty of parts of life, including general health at times and eating/drinking. The trend of talking in circles to avoid obvious truths - like obesity being largely the product of choices - isn't just ridiculous, it's horrifying.

We're taking laughable talking points, manipulating scientific data to support them and turning said talking points into revised "scientific truth."

This is like tobacco advertising from the 60s being adopted as medical reality.
Posted by diat150
Louisiana
Member since Jun 2005
46115 posts
Posted on 9/7/23 at 9:16 am to
bullshite. if that was the case why has obesity skyrocketed only in the west and in the last say 30 years....
This post was edited on 9/7/23 at 9:20 am
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
451907 posts
Posted on 9/7/23 at 9:16 am to
quote:

Ozempic and the other meds like it not only suppress appetite they also modify the chemistry in the brain that affects appetite.

Yeah this is a major thing, and you can compare it to an addiction. There is no stronger addiction than your brain telling you that you need to eat a lot. This isn't always related to high calorie food or caloric needs at all. That's why cortisol is the easiest example. Your brain being shocked and telling your body at a subconscious level via manual override that you have to intake calories to protect yourself eliminates the concept of "choice".

Again, yes, if you want to lose fat or gain muscle it is a combination of the right calories and movement, but to even get to that level you have to be on a proper psychological, emotional, and hormonal level and have the right biology/genetics.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
35299 posts
Posted on 9/7/23 at 9:16 am to
quote:

Some fatties are definitely fat because of their choices but others are not. So the OT experts who say that fatties are only fat because they choose to be are wrong.

It doesn’t say that, it says that the brain controls appetite. But your fatass still has the choice in how much you are going to eat.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
451907 posts
Posted on 9/7/23 at 9:17 am to
quote:

My guess is that bad eating habits at a young age change your body chemistry and make losing weight harder as you age because you body is used to eating like shite.

I imagine this is the truth, and other posters (when discussing these drugs) have said the issue comes when people use these drugs but don't realize it's an opportunity to change exactly what you pointed out. They eat the same shitty foods and that is what causes the GI issues. They'll also just gain everything back once they're off the drugs b/c they didn't address the underlying biological/hormonal issues.
Posted by go ta hell ole miss
Member since Jan 2007
14026 posts
Posted on 9/7/23 at 9:17 am to
quote:

But the brain still doesn't get to decide what a person puts in his mouth.


You’ve obviously never been around a serious alcoholic or drug addict. The brain absolutely decides what a person puts in their mouth/body. Many obese people have a compulsion to eat more food in precisely the same way a drug addict or alcoholic have an obsession to take more drugs or consume more alcohol. Much like a drug addict or alcoholic, unless you have experienced that compulsion or obsession, you will never really understand it. Obese people don’t want to be obese any more than a junky wants to be a junky.

We are at the infant stages of understanding obesity, which is largely by choice of those that have profited for so long from it. Obesity has been a major money maker for the entire medical community and big pharma (heart, diabetes, etc. are all money makers and impacted by obesity. . It is not a coincidence that once one company came out with a blockbuster drug, many others immediately followed suit.
Posted by Gabapentin
Member since Mar 2022
374 posts
Posted on 9/7/23 at 9:18 am to
I take Ozempic, testosterone, and thyroid meds. Have lost 70LBS. It works and when I got off it for a month, I did not have the same feeling in my stomach as I did with the medicine BUT my stomach has shrunk a lot and I still can't eat like I used to. Now the self control is the part where I either keep it off or back to a fat slob.

Lastly, Insurance companies realized that is was being prescribed for "Off-label use" after being promoted to doctors as a weight loss drug instead of just for lowering A1C levels and about 2 weeks ago finally stopped approving it for tons of people who don't actually have Diabeeeetus. So lots of the fat people are about to be F'd. Now if you want to get it approved, you need the correct diagnosis as Diabetes(which stays on your charts for life), plus a history of it.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
451907 posts
Posted on 9/7/23 at 9:19 am to
quote:

Obesity is a choice. Saying otherwise is simply following the societal trend of absolving ones self of personal responsibility.

If a person has a genetic likelihood of getting cancer and then ultimately gets cancer, was that also a choice?
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
451907 posts
Posted on 9/7/23 at 9:20 am to
quote:

But your fatass still has the choice in how much you are going to eat.

But you don't have control over the signals your brain promotes (like feeling hungry), which are stronger than "free will".

You have to break that cycle or you will never keep weight off long term. It's really, really hard to re-wire your brain, especially if genetics are in play that make you more likely to have a brain telling you that you're hungry.
Posted by Uncle JackD
Member since Nov 2007
59255 posts
Posted on 9/7/23 at 9:22 am to
It’s pretty incredible how triggered the OT is by drugs that are actually helping with obesity.
Posted by WaydownSouth
Stratton Oakmont
Member since Nov 2018
9663 posts
Posted on 9/7/23 at 9:23 am to
quote:

Their gene expression has to be modified before they can lose weight. I have had many patients who are religious about charting their food intake and exercise using apps for me to verify. Their diets are healthy, calorie output is greater than their calorie input, they have met with dietitians, personal trainers, etc, and are actually trying. However, these people still do not lose weight.


I can guarantee you they are not charting food properly. Are they weighing out everything they put in their mouth on a food scale or eye balling it?

Most people have no idea how to properly document food. For example chicken weighed raw or cooked? Because the package is raw. So if you weigh out 6oz of cooked chicken, its more like 8oz. Same for other meats.
Posted by ronricks
Member since Mar 2021
9861 posts
Posted on 9/7/23 at 9:23 am to
quote:

It not only affects the amount someone eats at meals but decreases the urge to eat in between meals.




Solved by eating something healthy. When I get the 'urge' to eat between meals I don't get a milkshake or a piece of cake etc. This is common sense.
This post was edited on 9/7/23 at 9:24 am
Posted by JohnnyKilroy
Cajun Navy Vice Admiral
Member since Oct 2012
38648 posts
Posted on 9/7/23 at 9:24 am to
quote:

It’s pretty incredible how triggered the OT is by drugs that are actually helping with obesity.


It’s stolen valor
Posted by Pettifogger
I don't really care, Margaret
Member since Feb 2012
83602 posts
Posted on 9/7/23 at 9:24 am to
I don't think that's necessarily true.

I think this is what is triggering:

quote:

“This is not about willpower or personal choice,” said Dr. Florencia Halperin, an endocrinologist and chief medical officer of Form, a virtual medical weight-loss clinic. “This is about your brain driving behaviors.”




quote:

The new medicines have put some long-held assumptions about weight and health on the chopping block. “What these drugs have proven is that patients are right: It’s not their fault,” said Dr. Louis Aronne, an obesity treatment specialist and professor of metabolic research at Weill Cornell Medical College.



Posted by Boudreauboudreaugoly
Land of the Rice n Son
Member since Oct 2017
2215 posts
Posted on 9/7/23 at 9:26 am to
Big pharma finna eat…………AGAIN!
Posted by Uncle JackD
Member since Nov 2007
59255 posts
Posted on 9/7/23 at 9:27 am to
quote:

It’s stolen valor






Half of y’all dipshits bitching about likely have a BMI >30
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
35299 posts
Posted on 9/7/23 at 9:27 am to
quote:

But you don't have control over the signals your brain promotes (like feeling hungry), which are stronger than "free will".

This is not an objective truth. You can “defeat” those urges. Track calories, drink a lot of water, understand that you don’t have to eat every time your brain says you are hungry. If you want to be healthy, you can be.

ETA: my extended family is >50% obese, I was on my way to adding to that number until I got my shite together a few years back.
This post was edited on 9/7/23 at 9:33 am
Posted by DevilDagNS
Member since Dec 2017
2896 posts
Posted on 9/7/23 at 9:29 am to
quote:

Water only suppresses appetite for a short time. Drinking lots of water to suppress appetite in between meals is not a feasible solution for most people. If someone tries to drink enough water to suppress appetite enough to set a new set point they will end up having to urinate multiple times per hour and that will cause them to stop drinking that much water and they lose all the progress towards a new set point.



Drinking water is an appetite suppressant, not a replacement. Obviously everyone has to eat. That is a silly take.

Everything else you say still points to self-control and lifestyle issues. The urge to eat between meals is driven by sugar/carb cravings because the body is using glucose as the primary fuel source instead of fat. This is 100% a CHOICE. If you cut the carbs and the sugar, you won't crave them anymore and your appetite will get in check. No one has a gun to anyone's head forcing them to eat a donut over a vegetable. This is bullshite.

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