If you lost 90 lbs, you must have been at least 90 lbs overweight. That isn't a little bit of fat. That is a lot of fat. And it takes a lifetime to put on that much fat. You can't really claim that you had proper exercise and diet before you started taking medications. I have seen many episodes of My 600 LB Life and similar shows where the clients and their caretakers swear on their mother's graves that they even eat at all, but that isn't how reality and physics work.

Don't misunderstand, I'm glad they made the GLP-1 drugs, but still, they have for years been reversing Type 2 diabetes through exercise a diet.

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ToucanLoucan 4 days ago | parent [-]

Calories in/out is the only reliable way (short of surgery or drugs anyway) to reliably change the size of your body in either direction. Genetics, where you are on the planet, hormones, and your average activity levels tweak things but this remains fundamentally true:

If you eat in a calorie deficit, you will lose weight.

If you eat in a calorie surplus, you will gain weight.

It's not hateful, it's math. If you have a hard time getting your intake down due to life circumstances, addictions, stress, whatever, you have my utmost sympathies and I would do anything I could to help, but I'm not going to bullshit you. If you want to weigh less, you must, over a long period of time, take in fewer calories than you burn in a day. That is how you lose weight in the most nuts-and-bolts way there is.

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fhdkweig 4 days ago | parent [-]

I'd also like to point out that people don't think about calories when they eat. They are thinking about their hunger. But for 50 years they've been told "carbs and whole grains are good for you". So they eat carbs which spike the blood sugar followed by spiking of insulin. A few minutes later both crash, which makes them hungry and they go back for more food which is carbs.

It is impossible to not overeat with that mindset. First they have to learn that fatty and fibrous foods will make them feel full all day. My go-to comfort food is ice cream. I was thrilled when I discovered https://rebelcreamery.com/ , which they sell at my local grocery stores. I can eat about 700 calories and a bit of psyllium fiber and be full for the whole day. It is the primary way I lost weight.

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dragonwriter 4 days ago | parent [-]

> But for 50 years they've been told "carbs and whole grains are good for you".

Carbs have replaced fats as the conventional wisdom thing to religiously minimize for a couple of decades now; this is like reading a canned rant that was found in a time capsule from the 1990s.

	▲	fhdkweig 3 days ago \| parent [-]
		I guess it matters if a person continues learning throughout their life. Some people decide their book learnin is over at high school, and those people will stay forever behind.