Hmmm

I still believe in medical-surgical solutions.
The various surgeries-actually work-
data shows that if you are MORBIDLY obese-surgery is it.
Now the "pill solution" that will actually work -and isn't TOO dangerous- hasn't been developed yet-but it will be!
Pills CAN cause and sustain weight loss.If you take dexadrine- and progressively increase your dose- like tweaker- you will lose weight (and your teeth- job-house -family...) but the ones that work-are too toxic since you have to slowly increase your dose.

I think EVENTUALLY a pill that works(actually might be a small peptide like a hormone so you'll have to inject it like insulin) will eventually be developed.Very clever people working on it-the biology is better understood-
MOST IMPORTANTLY THERE IS A CUBIC PILE OF $$ TO BE MADE by the first truly effective, relatively safe medical treatment. (Surgery expensive-bit risky etc)

Yeah it will happen in our lifetime.
Metformin-old drug- new "indication" commonly causes weight loss in diabetics.Of course its boosters suggest all sorts of plausible somewhat subtle mechanisms-
BUT just ask any druggist- IT COMMONLY CAUSES NAUSEA GAS STOMACH UPSET- yeah nothing subtle about that-feel sick eat less!
It also occasionally causes metabolic acidosis-dangerous-and something that should give folks pause.

Anyway-no current effective safe medical treatment for weight loss-medical meaning pill or shot.

Self control?? determination?? Kidding right?? Pointless to even mention it-
Fat Folks- DON'T WANT TO BE FAT!! SELF CONTROL DETERMINATION??
Normally I'm all for blaming the victim-but not this time.
Our evolution-periods of starvation- favors OBESITY in times of plenty.
Gaining weight in times of plenty- HAS HAD survival value-
WHICH EXPLAINS WHY OBESITY IS SOOOO SOOOO COMMON.

Yep-we need a medical solution-our evolution makes us fat.
Exercise for the fun of it-play up social aspects- best current treatment-yeah walk ride swim-good nights sleep etc-
and wait for BIG PHARM to deliver a good solution to our biology-they will come thru-no tongue in cheek
until then exercise-cut the carbs a bit-eat those eggs skip the toast