There Are No More Excuses To Be Fat

fatbegone

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"It’ll no doubt be a few years before most people realize it, but it’s true: there really are no excuses to be fat anymore. It’s a good thing that every excuse is meeting the same fate. That fact means that, soon enough, nobody will have to be fat."

 
"It’ll no doubt be a few years before most people realize it, but it’s true: there really are no excuses to be fat anymore. It’s a good thing that every excuse is meeting the same fate. That fact means that, soon enough, nobody will have to be fat."

But it’s soooo fun listening to Dr. Nowzaradan give people the business and making them cry like they didn’t know what they were getting into when they signed up to be on television.
 
The most effective GLP-1 drugs can generate about 25% weight loss , so if you are not severely overweight, then it is somewhat a cure. Assuming you are rich enough to afford it, are lucky enough to have a doctor who thinks treatment of less severe obesity is important, or are one of the very small percentage of people motivated and educated enough to source them illicitly, or happen to live in the US where "clinics" provide semi cheap off label versions. This assumes you respond at least as well or better than average to them, and do not have intolerable side effects and are prepared to stay on them long term.
I think over the next decade or so a huge proportion of the population is going to end up on them, once they are cheap enough and good oral versions exist, ( and cause less nausea ) mainly for risk reduction for a pile of different diseases, plus of course the cosmetic and lifestyle benefits of being less fat.
But for people with more severe obesity and especially those with syndromic/genetic obesity they are not even close to good enough yet. And still inferior to bariatric surgery. But much better than previous options. The pharmaceutical companies are intensively researching additional medications to go with them, to reduce loss of, or increase muscle mass and increase maximum weight loss.
 
ugh, I loathe the tone of this. I agree with the underlying message, that it's a miracle that we have medication that can treat the problem that so many of us have, and which has made many of us miserable. But I hate the framing of it around "excuses." It feels judgy and hostile toward people who are fat, and no matter how unnecessary that seems, I'm gonna just keep accepting that weight is sensitive, people who are fat are having difficulties I can't see, and don't judge or bother them much and keep my eyes on my own paper.
 
There is no one-size-fits-all, but I mostly agree. Think 80-90% can benefit greatly. The others simply cannot tolerate or don't want to go through lifestyle changes to suit. As is life.
 
But it’s soooo fun listening to Dr. Nowzaradan give people the business and making them cry like they didn’t know what they were getting into when they signed up to be on television.
Or watching them stop at every drive thru on the way to Houston? Good strategy actually to pad the weigh-in so the 50lbs he tells everyone to lose in the 1st month is skewed.

How dated does the show and especially Dr Now's medical cred look not acknowledging the existence of GLPs? It's always him saying it's life and death (and there's been death) so why not? How about sending them home with his outdated book "The Scale Doesn't Lie, People Do!" along with his dated 1200 cal diet (no protein drinks!) with a box of shots?

Disappointed to see the hot fresh zaddy Dr Procter not offering GLPs (so far) on "Dangerously Obese" although it appears his "fresh" series was filmed during Covid and not premiered until 2025.

Anxiously awaiting fresh episodes of both!
 
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"It’ll no doubt be a few years before most people realize it, but it’s true: there really are no excuses to be fat anymore. It’s a good thing that every excuse is meeting the same fate. That fact means that, soon enough, nobody will have to be fat."

His clinic was right here in Houston! Fun fact: at the time the show started, Houston was “the fattest city in North America” (2012/2013) then later slid to 5th or 6th place. I credit Dr. Now and Texas Medical Center for de-fatting the city. 🙂
 
Yes and no as it depends on the individual. Like yes this tool exists and is abundant but you can't convince every fat person to take it or to expect them to know how to take it properly if they want to use it in an affordable manner.
Idk, I have fat people in my family and they are fine with the way they are whether it be being afraid of glp's or enjoying their vices. Obesity also messes with your mind so one has to be in a good mental state for them to make use of this tool and have the want to go through the journey.
 
This article seems to suggest that in the near future, we'll all have access to cheap glp pills we can take daily for the rest of our lives. Sadly,This is frankly nonsense.
Our society is built on capitalism, with food being one of the most predominant commodities. The multinational conglomerates, who own the companies who make, sell, and generate massive profits off of foods, (that are designed to be fattening, due to their intentionally addictive ingredients,) are not going to allow that to happen!
Not even Big Pharma will want that, as they are already profitting from the drugs everyone needs due to the illnesses caused by obesity. These will either never get approved, (the FDA exists to benefit the food and drug businesses) or will be so expensive, that only the wealthy will be allowed to be thin.
Really their only motivation to make these cheaper is the loss of profits due to the grey market we are participating in, stealing their clients and curing them!
 
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I understand this was spoken in jest and likely wasn’t meant as a direct attack on obese individuals. It will be nice when the day comes where folks are better equipped to manage chronic illnesses at-home on a limited budget. Yes, there are many who can’t take this class of peptides but we can still dream.
 
But it’s soooo fun listening to Dr. Nowzaradan give people the business and making them cry like they didn’t know what they were getting into when they signed up to be on television.
Just remember to hide the pizza boxes better than some on the show, haha. (I'm sure the producers are involved in producing the drama.)

I have a young, obese relative with type-1 diabetes who is too risk-averse to even bring up the subject to the endocrinologist. I realize GLPs are not FDA-approved for type 1, but even if I had type 1 diabetes, I would consider the risk of at least a microdose.
 
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ugh, I loathe the tone of this. I agree with the underlying message, that it's a miracle that we have medication that can treat the problem that so many of us have, and which has made many of us miserable. But I hate the framing of it around "excuses." It feels judgy and hostile toward people who are fat, and no matter how unnecessary that seems, I'm gonna just keep accepting that weight is sensitive, people who are fat are having difficulties I can't see, and don't judge or bother them much and keep my eyes on my own paper.
Meeeee toooooo. GLP-1s are a huge medical advance, but saying “there are no more excuses to be fat” is a privileged take. Most people can’t afford them, can’t access fresh food easily, or don’t have the time, support, or healthcare to even start. Health isn’t about excuses — it’s about equity, access, and compassion.
 
Oh my.

I’ve had so many older women ask me if these drugs will help them to lose weight after hitting menopause. Very large numbers of women hit menopause and then find it practically impossible to cut weight anymore, which is extremely understandable. Just think about what menopause is! The analogy I give to men is that menopause is essentially like reaching a point in life where your testicles fall off. It’s like a one-off event that ages women radically overnight.

No. No it is not like this at all. Women who go through surgical menopause, yes. The rest of us have roughly 10 years of the system winding down, and our erratic daily-life-interfering-symptoms are not taken seriously unless it's interfering with sex. A "one-off event" that takes 10 years to occur, sure. Not what the writer had in mind.

The good news is everything I hear in the meno/peri corner of the world agrees with the writer: GLP-1s makes weight loss doable in and around this second major shift.
 
Oh my.



No. No it is not like this at all. Women who go through surgical menopause, yes. The rest of us have roughly 10 years of the system winding down, and our erratic daily-life-interfering-symptoms are not taken seriously unless it's interfering with sex. A "one-off event" that takes 10 years to occur, sure. Not what the writer had in mind.

The good news is everything I hear in the meno/peri corner of the world agrees with the writer: GLP-1s makes weight loss doable in and around this second major shift.

My wife is experiencing this right now and while glp1s helped, it's not quite powering her to the finish line. She's holding steady at 150lbs - 5'3" for a year now after losing 70lbs and if I wasn't witnessing her eating habits now, I wouldn't believe it. It's at a point where I've asked her to consider eating more, because I'm worried about nutritional deficiencies popping up and she agrees.

Meanwhile, I'm eating double to sometimes triple what she does and am still losing fat consistently. Different bodies, different needs, but it really does feel like easy mode for me and hard mode for her.
 
My wife is experiencing this right now and while glp1s helped, it's not quite powering her to the finish line. She's holding steady at 150lbs - 5'3" for a year now after losing 70lbs and if I wasn't witnessing her eating habits now, I wouldn't believe it. It's at a point where I've asked her to consider eating more, because I'm worried about nutritional deficiencies popping up and she agrees.

Meanwhile, I'm eating double to sometimes triple what she does and am still losing fat consistently. Different bodies, different needs, but it really does feel like easy mode for me and hard mode for her.

I’m glad she has your support. It’s such a wacky phase for lack of words. Disruptive.

There’s a lot of fear in the medical community about hormone therapy because of a 2002 study that has since had several papers written against it. NAMS North American Menopause Society has a position that favors HRT in most cases, here’s a link below. The whole website is helpful in ANY case, I don’t want to get wordy/too far off topic, ping me if she wants or needs direction. I mention it because it is quite course-altering in a very good way if she can get on it.


I believe you about her intake. The reason I’m here is because my body feels stuck, I’m not lacking in muscle (155# of lean on a 5’7” frame) yet my burn bottomed out and eating clean/ counting calories hasn’t been moving the needle. The chemistry is very different, like a completely different body. Old methods don’t work. I haven’t dropped ridiculously low but I can see why some do.
 
ugh, I loathe the tone of this. I agree with the underlying message, that it's a miracle that we have medication that can treat the problem that so many of us have, and which has made many of us miserable. But I hate the framing of it around "excuses." It feels judgy and hostile toward people who are fat, and no matter how unnecessary that seems, I'm gonna just keep accepting that weight is sensitive, people who are fat are having difficulties I can't see, and don't judge or bother them much and keep my eyes on my own paper.
I love this. This is my posture as well. Thank you for articulating it so well.
 
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