I've heard this referred to as body "set points", and I've yet to see anything very convincing that set points are a thing. It doesn't really make sense that t

I've heard this referred to as body "set points", and I've yet to see anything very convincing that set points are a thing. It doesn't really make sense that the body would "prefer" a body weight that is tremendously inefficient and contraindicated. More likely, in my opinion, what may be seen as a "set point" may be more akin to metabolic damage that simply takes time to heal once the pathology is actually being properly addressed. Also, people simply can't be trusted when it comes to self-reporting of their own regimen. Whether it's not being honest with one's self, or being embarrassed, ill informed, or plain delusional, lots of people will report that they've done "all the right things" to lose weight when they in fact have not. It's far more common that people suffering from obesity remain fat because they are thwarting their own progress, or are being given shitty advice from crackpot dieticians, and less common that there is some chronic hormonal condition that can't be corrected by diet. If your pancreas is still working, as well as your thyroid, your pituitary, your hypothalamus, etc., you probably can correct your obesity without drugs. But people want the "pill" or the "shot", even though the chances are really good that they could get most of the work done cutting out exogenous sugar and alcohol. And I can't necessarily blame them because I obesity drugs can be a life changing thing for those stuck in the 300+ lbs range. What worries me about these kind of drugs is if people think it's okay to get fat and prediabetic because they can just get a prescription. I guess that's great if they can, but that also seems like a form of low level megalomania of sorts, and results in one fewer thing for people to take personal responsibility over. It's good for the mind to put effort and work into something. It infantilizes the mind to allow it to not have to put rigor into anything.