I mean there also are people that have genetic conditions which make it almost impossible to not be obese without external intervention. Those people are obviou

I mean there also are people that have genetic conditions which make it almost impossible to not be obese without external intervention. Those people are obviously a minority of the obese population, but I wouldn't say that anyone can overcome naturally. I also don't think it is inherently wrong to include medication (or in the case of obesity, surgery) as part of an intervention in conjunction with lifestyle changes. If done correctly such interventions can be better than the sum of their parts. It's unfortunate that there are so many bad clinicians out there, but that doesn't mean we should let it affect our opinion on actual best practices. There's a difference between putting in a reasonable amount of work and unnecessarily struggling (although admittedly that's sometimes a fine line).