@FirefighterGeek @GreenSkyOverMe I think this is what causes weight stigma: most of us have experience making changes to our diet and seeing the effect of those changes, so we think that should just work for everyone. But I have long suspected, and the effectiveness of these drugs confirms, that it’s hormonal changes that drive the weight gain, and you can’t realistically make long term changes in the face of hormones that effect energy storage, cravings, thoughts, and fatigue levels, etc.