I understand it’s being misused by people who don’t need it, particularly in the entertainment industry. But I’m almost 400 lbs and my eating is worse than it’s ever been and I’m just in desperate need to rid myself of this obsession with always eating more no matter what. Does anyone here have any experience with it? I’ve heard it just works by making you nauseous but I’ve read elsewhere that that’s just a common side effect. At this point I’m nauseous most of the time anyway.

  • Sulvy [he/him, comrade/them]@hexbear.netM
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    4 days ago

    You should know that so far basically nobody knows how to reliably lose weight and keep it off at a population level.

    At a population level? Affordable healthy food, promoting an active lifestyle, and reduced stress…this stuff isn’t a mystery. Weight gain in the average person isn’t due to ‘overeating’ (ED or otherwise) it is due to sedentary lifestyle and the easy accessibility of nutrient poor, calorie dense, cheap food.

    • insurgentrat [she/her, it/its]@hexbear.net
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      4 days ago

      Some individuals find success with long term weight loss but there is no known approach that can be applied to a population that yields reliable results.

      We can imagine many things that theoretically work but either compliance is low at the study recruit level (they don’t work) or they are no practical in our current sociopolitical climate (they don’t work).

      The reality is we don’t know what to do, we have ideas but we can’t do experimental societal transformations to do the studies.

      To my knowledge there is no good scientific evidence of what you propose, if you have it then by all means please share it.

      • Sulvy [he/him, comrade/them]@hexbear.netM
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        4 days ago

        To my knowledge there is no good scientific evidence of what you propose, if you have it then by all means please share it.

        Calorie deficit. Burn more calories by avoiding sedentary lifestyles and reduce excess calorie intake (soda, high fat foods, calorie dense meals)

        • insurgentrat [she/her, it/its]@hexbear.net
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          4 days ago

          Ah that is a common misconception of an oversimplified model. In general long term compliance is low, it’s hard to feel hungry all the time. If people increase calories to a normal level after restricting for loss they typically still feel hungry, and will intuitively eat until they have regained most of the weight they lost.

          Feeling hungry for the rest of your life blows hard and compliance isn’t there so therefore it doesn’t work.

          People with bodies that are working well typically don’t feel hungry after overeating. I know if I eat cake for breakfast I just wont feel hungry at lunch, whereas some people will continue to feel hungry even if they fill up on “healthy” food. While it’s true that some foods are more satiating than others it isn’t true that if one eats only highly satiating food and avoids “junk” foods their bodies will self regulate well.

          Exercise is not actually very effective for weight loss, it tends to make people hungrier than the calories it burns. If I run 10kms I burn like half a meal’s worth of calories but I sure as hell feel like eating a double helping of brunch afterwards. While there are many compelling reasons to avoid a sedentary lifestyle it isn’t true that we can finger sedentary lifestyles for fatness.