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> I find it incredibly sad that you could be that large already at that age. I can only imagine how difficult it would make life. As someone about this size,

> I find it incredibly sad that you could be that large already at that age. I can only imagine how difficult it would make life. As someone about this size, but has also been relatively "fit" at this size (I used to be able to go on casual 10+ mile hikes on weekends, pre-pandemic), it's also our health system failing us. I've never had a doctor give me a better answer than "diet and exercise" to change things. I got to a level of fitness where I could go on 10 mile hikes, which is a hell of a lot more fit than a lot than many Americans, yet they'd still give me doom and gloom and uninterested answers. It's exhausting. America does not treat obesity well, and I feel like there's not good enough research going into it. I love to see reporting like—and hope there's more to come, in hopes that it changes both clinical mindsets and also how we think about obesity. It's more than what you eat.

cnasc 4y ago
> I've never had a doctor give me a better answer than "diet and exercise" to change things. I got to a level of fitness where I could go on 10 mile hikes I don’t mean this to be rude, but it sounds like you paid attention to just one half of the doctor’s advice?
- cptcobalt 4y ago
  Not so—significant dieting, zero soda or desserts, etc. But that's not as comparatively interesting for the argument as "can go on 10 mile hikes any weekend, yet made no progress". My point is directly intended to respond not just with anecdata, but that we have more work to do in research, diagnosis, and treatment of it. I don’t mean this to be rude, but it sounds like you jumped to a quick conclusion based on preexisting simple expectations about obesity?
  - cnasc 4y ago
    > I don’t mean this to be rude, but it sounds like you jumped to a quick conclusion based on preexisting simple expectations about obesity? I think this is unwarranted sarcasm, given that I could only comment on the information you provided in your post.
    - cptcobalt 4y ago
      I accept that feedback at face value.
      - Auracle 4y ago
        I too had the same thought. You might hike 10 miles on the weekend but depending on your weight that's maybe 3000 calories at the most? It's pretty easy to eat that back over a week. For the record, just in case it helps you, most weekdays I walk pretty close to 10 miles using a standing desk and walking treadmill. If you can incorporate it into your work day I'd recommend it.

cnasc 4y ago

> I've never had a doctor give me a better answer than "diet and exercise" to change things. I got to a level of fitness where I could go on 10 mile hikes I don’t mean this to be rude, but it sounds like you paid attention to just one half of the doctor’s advice?

cptcobalt 4y ago
Not so—significant dieting, zero soda or desserts, etc. But that's not as comparatively interesting for the argument as "can go on 10 mile hikes any weekend, yet made no progress". My point is directly intended to respond not just with anecdata, but that we have more work to do in research, diagnosis, and treatment of it. I don’t mean this to be rude, but it sounds like you jumped to a quick conclusion based on preexisting simple expectations about obesity?
- cnasc 4y ago
  > I don’t mean this to be rude, but it sounds like you jumped to a quick conclusion based on preexisting simple expectations about obesity? I think this is unwarranted sarcasm, given that I could only comment on the information you provided in your post.
  - cptcobalt 4y ago
    I accept that feedback at face value.
    - Auracle 4y ago
      I too had the same thought. You might hike 10 miles on the weekend but depending on your weight that's maybe 3000 calories at the most? It's pretty easy to eat that back over a week. For the record, just in case it helps you, most weekdays I walk pretty close to 10 miles using a standing desk and walking treadmill. If you can incorporate it into your work day I'd recommend it.