5 ms·

> It wasn’t their fault they picked the packaged, ultra-processed thing at the store. It is their fault. But the recent development with anti-hunger molecules

• pjc50 2y ago
  > I wish we had a drug to give some of the "just put the fork down" people to let them experience being really hungry for like a couple months Reverse ozempic! This is a known side effect of anabolic steroids and various other drugs, btw.
  • malfist 2y ago
    I think "reverse ozempic" is called weed
    • yamazakiwi 2y ago
      I know you're joking but there is a study from the American Journal of Medicine concluding marijuana use was associated with lower levels of fasting insulin, HOMA-IR, and smaller waist circumference. https://pubmed.ncbi.nlm.nih.gov/23684393/ https://pubmed.ncbi.nlm.nih.gov/23684393/
      • solumunus 2y ago
        That’s interesting. I’ve gone hypo on weed quite a few times.
• vlan0 2y ago
  While societal structures and corporate practices shape behavior, you're right, individuals still retain agency. But progress lies in fostering environments that support healthy choices while encouraging self-reflection and responsibility. Dismissing either side of the equation undermines effective problem-solving. ie, food deserts are real
• hammock 2y ago
  How did you get diagnosed eventually? What all tests did you go thru first?
  • arkh 2y ago
    > How did you get diagnosed eventually? What all tests did you go thru first? When entering the office of an endocrinologist for something unrelated they asked if I was there for some thing (which I guess was "prolactinoma") which was not the case; they still told me to get my prolactin levels checked because I had "the body for that". Their guess was right. I was really lucky as usually it is diagnosed in men when they start losing peripheral vision or producing milk.
  • swat535 2y ago
    I don't have prolactinoma but I got tested for it. I had low libido as a man with ED problems, I went to a Urologist and he prescribed a whole bunch of tests which includes checking your Prolactin levels as well as SHBG, FSH, LH,Testosterone, E2 etc. I suppose an Endocrinologist would run the same tests.. in my case I had Secondary Hypogonadism and was put on HCG (Human Chorionic Gonadotropin) which resolved my Testostrone issues and libido and improved my sperm count as a nice bonus. But I digress, the point is that if you suspect any issues, go see a doctor!
• malfist 2y ago
  I really appreciate your empathy here. Nobody has the same biological factors nor the same hormones, so expecting everyone to have the same drive to consume a vice is just wrong. But at the same time, there is nuance here. Calorie restriction is hard work, sometimes there's not an easy way to do something and knuckling down is the only way to achieve it. But I don't know where that balance is, between empathy and tough love, but it's definitely a spectrum. Me personally, I'd prefer to fall on the side of too much empathy. On your orthogonal subject, I had post-SSRI libido side effects (still highly recommend SSRIs, I'd rather have a low libido and alive than the alternative), without symptoms of ED, which is really hard to treat in men. I had good luck finding a doctor willing to write me a script for PT-141, and it was fantastic for me.
  • Aurornis 2y ago
    > Calorie restriction is hard work, sometimes there's not an easy way to do something and knuckling down is the only way to achieve it. Caloric restriction as the parent comment describes it is a strawman argument that people use to discredit diet advice. Real dieting advice isn’t “eat 833 calories of pizza and then stop instead of eating the whole pizza”. Real diet advice involves picking better food choices first. Pizza is a highly palatable, calorie dense food. If someone is feeling hungry after devouring an entire pizza, they need to stop eating pizza. They need more fiber, more filling foods, and foods that are less calorie dense. Even just picking foods that are slower to eat will make changes because our hunger and fullness signals aren’t instant. It takes some time for your body to process what you eat. Counting calories does work if it’s done correctly, but modern dieting advice hasn’t been that reductive for decades.
    • nearbuy 2y ago
      You're not factually wrong, but framing this as a fight between calorie restriction vs healthy eating and siding with healthy eating isn't right either. Both methods work for some people. Both methods have low long term success rates because people struggle to stick with them. Yes, intentionally restricting calories is hard for most overweight people. But eating healthy is also hard for most overweight people! And there's no guarantee it'll cause weight loss without calorie restriction. You can eat healthy foods and still have a large appetite and eat too much. It's two different tools that each require different kinds of willpower. Sometimes one tool works better for some people. You can use both at once. If there was an easy solution that worked well without willpower, we wouldn't have our current obesity rates. Hopefully the new weight loss drugs will help with this in the future.
• Aurornis 2y ago
  > It is easy to tell people "just eat less" when you are never really hungry yourself. This is another strawman argument. Good meal planning and dieting advice starts with your grocery list and the contents of your refrigerator. It’s not “just eat less”, it’s “stop buying those foods you know are terrible and replace them with something else” > It requires empathy to try and imagine a world where after eating a whole pizza Again, this is setting up a strawman argument. There are more foods available to us than an entire pizza. You have to make a series of decisions that leads to buying a whole pizza. If you think that pizza is full of engineered, addictive chemicals and you also know that you’re going to be hungry after eating it, why is it what you choose to eat? This is the problem I was trying to describe: It’s really convenient to blame addictive food chemicals and other external factors for everything, but in the process people are wiping away any sense of choice and accountability for their actions. For what it’s worth, I am hungry virtually all of the time. It was a running joke with everyone since I was a kid. I learned early on that I need to modulate my diet at the source, otherwise my weight goes up before I know it. Changing my shopping list and planning where to eat before I’m hungry makes all the difference.
• Funes- 2y ago
  Craving more and more sugar (carbs) constantly is not the same as being hungry. That's why you can never have enough of it even if your body has had more than enough food to sustain itself for a whole week. Hunger is a very straightforward physiological signal, not a psychological craving that stems from addiction. Anyone who's ever been addicted to anything would recognize that as food addiction, not "insatiable hunger". Once you start disciplining yourself with regards to diet, that's one of the very first things you automatically learn to discern. This realization usually comes to you very evidently, in a spontaneous manner.
  • thaumasiotes 2y ago
    > even if your body has had more than enough food to sustain itself for a whole week. For reference, that amount of food is zero. You're already set for the week. Animals don't operate like cars where they're constantly on the verge of death.
    • Funes- 2y ago
      To sustain itself... at the same rate it usually does (body fat, muscle...). My comment was extremely easy to grasp. Instead, you twisted what I wrote, clinging to a stupidly literal interpretation of it, and came up with a ridiculous reply, riddled with straw man fallacies. Good job (making a fool out of yourself while trying to one up a stranger on the Internet).
      • thaumasiotes 2y ago
        Think a little further, and you might see that the amount you've recently eaten has very little relevance to how much you need to eat in the near future.
        • Funes- 2y ago
          You didn't get my comment it at first--it's fine, dude. Every other user understood it right away, so no problem.
• stewarts 2y ago
  Prednisone can be a real doozy for some people along those lines. Anywhere from mild hunger all the way to rabid, unchecked hunger.
• snozolli 2y ago
  "You just lack willpower". Yeah sure, like you demonstrate having any. My adult, reasonably fit weight was about 175 - 180. I got up to 215 back in 2018. I'm now back down to 185 and getting leaner. You know what I noticed? My hunger pangs were far stronger when I was fatter. When people ask about losing weight, I say "make friends with hunger". I'm hungry for a significant portion of the day these days. For a few years there, I wasn't hungry because I was always proactively eating, and when hunger did hit, it was intense.
  • mindslight 2y ago
    So, this "hungry for a significant portion of the day", in the context of software development. Are you just supposed to throw in the towel on getting anything done, or write blublang with an endless stream of boilerplate, or what? Like I certainly get the experience of doing straightforward physical tasks and putting off eating, but it seems like a non-starter when you actually need to like, concentrate thoughtfully.
    • snozolli 2y ago
      If anything, my concentration and energy level are more consistent while hungry. I wake up hungry, but I'm not in a rush to get to breakfast. I start feeling hunger again within a couple of hours after a meal, but I'm still at least a couple of hours from the next one. I often fall asleep slightly hungry. Intermittent fasting might be a good idea if this sounds alien. At least you'll only feel misery for part of the day. I read an article years ago about how the French eat at set times and don't snack between meals, and they don't accommodate snacking behavior in children. That's not to say the French are necessarily some ideal, but certainly Americans are always snacking, on top of everything that's been said about processed foods and ease of access to food. I recall always hearing about "starvation mode" and how you were somehow going to gain weight if you ever dared to let yourself become hungry, and I foolishly believed it.
      • mindslight 2y ago
        My concentration is consistently terrible while hungry, to the point that I might as well just consider the time gone instead of even trying to write code or really even think about much of anything. That's my experience. So while I don't doubt your experience (and it's great that you've figured this out for yourself), it doesn't really generalize into advice about how anyone can simply change their perspective to avoid gaining weight.
• GoToRO 2y ago
  Beeing fat is the same like your experience. Beeing fat means you are ill but very few people treat it as an illness. What illness? Your gut stopped working. Because it doesn't absorb any vitamins and minerals you get these crazy cravings. Your brain is making you eat more to compensate. Of course, not more crap, but that it's your choice.
• casey2 2y ago
  >not everyone is the same regarding satiety There is no proof for this claim, nor can there be. "anti-hunger molecules" Are irrelevant. What is relevant is portion size, an individual is used to eating a portion size of x. There body is used to churning through all the physiological processes needed to digest (or not) y calories. If that individual ate x/4 over the course of a month their body would adapt to y/4 calories. You make the exact same argument but don't seem realize it. The drug you seek is called dieting. Alternatively you can believe the unscientific fantasy that buddist monks who starve themselves to death just have tons of anti-hunger molecules or were born with a genetic disorder that gave them max satiety points.And you can just ignore bodybuilders who claim to think about food all 24/7 (why would they be buddists if they started out aesthetic anyways? self selection? stop coping we all more or less have the same brain, all life has a massive disposition towards feeling hunger, these desires only grow in size and complexity as life gets more complex)
  • immibis 2y ago
    We shouldn't need to prove that not everyone is the same regarding X, for any value of X...
• steve_adams_86 2y ago
  In my 20s and early 30s I was extremely fit, and I loved exercising. I was compassionate, but didn't really get why overweight people refused to exercise. I thought, man, they just need to give it a chance. One day I got pneumonia, and it was a pretty severe case. It damaged my lungs and even my nerves in my neck, making it hard to lift my arms for weeks. I couldn't run 1km let alone 30km (which previously would have been a nice Sunday for me), and I couldn't even comfortably stretch or warm up. No big deal I thought, I'll bounce back. The funny thing is, when exercise actually feels awful, it's way harder. I didn't bounce back. On top of that, I developed depression. Not like... I was a little sad that I couldn't exercise. More like I was using exercise to help keep something pretty awful at bay, and with no defences against that and my health declining, it got reeeally bad. I then went on to gain a LOT of weight. I went from a muscular, lean 180lb at 5'10" to a less lean and more fat 225lb. I tried to manage it, tried to exercise, eat less, all of it. Something had changed, though. A threshold was crossed. My momentum was suddenly frozen by sickness, and then barely thawed at all over the following months. Everything I was previously escaping was then easily able to overtake me. The urge to eat more? Easy to give in to, now. The urge to sleep longer? Yes please. That voice in my head telling me today's not a great day to exercise? No longer a whisper but a relentless droning until I gave up the idea. Then it's replaced with compounding shame. It gradually dawned on me that my previous fitness, while great and all, was not afforded to me by my own virtues as opposed to the lack of virtues among my overweight friends. It was far more circumstantial than I realized. Once I got that ball rolling (which I'd accomplished through fixation and ignoring all kinds of other important stuff in my life, for what it's worth) it was relatively easy to keep it going. Once it had stopped, I was just like them. Often even worse. I no longer expect people to put the fork down, or just get up and go for a run. Is it necessary? Yes, 100%. There's no other solution. Is it easy? Evidently not at all, no. I've come to realize it's largely about support networks, too. We are often ashamed, self-isoalting, and left to our own devices. We have no one giving us tough love on a regular basis, motivating us, helping us to get that ball rolling, supporting us through our shame. We are often so isolated in that suffering. So that's my novel about being a smug fit person who got a little fat and realized he was a self-involved jerk. Now I understand the problem a bit better. It's hard. Very easy to criticize, very hard to support and solve. If you have an overweight loved one, part of their solution might be in you. People are not islands.