For a lot of people, being obese impacts their ability to live an active lifestyle and desire to be social, which causes them to sit around and eat more, causin

For a lot of people, being obese impacts their ability to live an active lifestyle and desire to be social, which causes them to sit around and eat more, causing them to get fatter in a vicious cycle. Breaking the cycle for these people will have long term benefits. Other people just have a disorder, where they literally don't feel the full signals that normal people do, so they only feel "full" when their stomachs are stuffed to discomfort. These people are already consigned to a life of suffering, either from being obese or from constant hunger and an inability to have a normal relationship with food. In this case being on a medication for the rest of your life is the lesser of two evils.