Comment by crooked-v

4 hours ago

It's absolutely the moral thing. Even on HN there are an endless number of people who treat the use of GLP-1s as a failure that must be publicly shamed.

I suspect a big part of that stems from the fact that many people treat being overweight as a moral failure in and of itself, and rather than repenting and doing the morally right and correct thing to lose the weight on your own, using a GLP-1 is "cheating".

Of course, all that ignores that people's bodies are different, and some people will be slim no matter what they do, while others are doomed to be heavier regardless what they do on their own (barring extremes like developing eating disorders), but I'm not sure it would matter even should everyone understand that -- a large proportion of people need someone they perceive as lesser whom they can look down upon, and physical appearance is a quick and easy means to categorize others.

That's because people are recommending them for long term use, and treating them like some miracle cure, when the only affect is appetite suppression. If you are malnourished for years, you're just going to die. These things are useful for a few months if you really, really have no willpower and don't want to develop any. For anyone else (most people), it's much healthier to learn how to do difficult things.

Yes, there absolutely is a sense of "it was hard for me, but I did it anyway, you should do the hard thing too". But that's not out of nowhere. Willpower is a muscle. If someone never exercises it, it's going to atrophy. It doesn't need to be shameful, but people who promote these things need to seriously consider the reality that most people's hunger is caused by something real, and just not being hungry does not solve any of those underlying problems.

My mother is a little bit overweight, which is a problem of calories OUT being too low. She doesn't exercise enough. She doesn't have energy to exercise. That's a problem of calories IN being too low. She's taking a GLP-1 now to lose weight. It very exactly does not solve either of those issues. She has less energy. Most of the weight being lost is muscle mass. I think it's despicable that these things were rushed through the medical system. I don't think it's the layman's fault for being manipulated into thinking it's medicine.