Fat Acceptance Made Me Gain 400 Pounds

[@Taywanee]

I really hate the “95% of diets do not work” because it really only applies to diets that cause you to eat in heavy restriction leading to fast and unsustainable weight loss. It doesn’t apply to eating in a modest calorie deficit and slowly losing 0.5-2lbs per week.

[@sprig5173]

Dieting is problematic. Changing your relationship with food is a different thing.

[@Taywanee]

@@sprig5173 a “diet” is literally just what you put into your mouth

[@discordantduck1808]

the 95% statistic comes from a study from I believe the 60s that followed people who weren't actually actively trying to lose body fat

[@Taywanee]

@@discordantduck1808 I can believe that. All these facts and statistics they shout are outdated or wrong

[@LifeAfterLosing]

Exactly. I could take studies on the south beach and cabbage soup diet and prove that they don’t work 95% of the time too, but that does not show the whole picture. It’s used to create a narrative to sell a drug or another food product. Look, 5000 people did this study and after 3 years we found that 95% of them gained their weight back after doing several different diets, proving that diets don’t work. Now, do I have an amazing pill to sell you!

[@verdantvixen96]

I have a lot of the same concerns that others in the comments here have. He’s still clinging on to a lot of the fat acceptance/HAES rhetoric. Saying that diets don’t work and some people eat a single cookie and gain ten pounds? It just doesn’t work that way. The way that he spoke about darkened skin and swollen feet… sounded like he wasn’t aware that those are complications directly associated with his diabetes and poor cardiac function from being morbidly obese? It’s like he’s really trying to shield himself from how he’s treated his body and obfuscate his own responsibility around his health. I’m glad that the medication is helping him and I definitely don’t think there’s anything wrong with using it, but I think he’s still treating it as a magic solution instead of a tool. I think he still has a long way to go. I wish him luck.

[@LifeAfterLosing]

100%! You have summed it up beautifully!

[@herefortheshrimp1469]

I have to remind myself that they JUST got out of some consistent and deep brainwashing and won’t be +10 immediately, they’re growing from -5 to -1 right now

[@johannas.l.brushane2518]

Yes, according to Benjamin Bikman who wrote "Why we get sick" insulin levels are elevated 10 -15 years before pancreas can no longer clear out excessive glucose from the bloodstreams and they are diagnosed as pre-diabetes or diabetes. That elevated hormone levels tend to disturb other hormones, hence they get PCOS and also then the weight gain (because the insulin keeps fat in storage and prevent the use of it for energy). So the rational thing would be to test insulin levels in the standard test of panels (but they don't, and even the diabetes association are against it with ridiculous motivation, maybe because they recieve considerable donations from food- and pharma producers, i.e. corruption and self serving interests. If people were aware and addressed elevated insulin the consequence would be fewer would become diabetics and they as an influential organisation would have declining members instead of increasing).

[@Otteal]

I was thinking the same. If he doesn't take accountability and change his habits completely, he will never come off the meds or when he does, he'll gain a lot (maybe all) of it back

[@T2C47]

Dr Bikman's book is amazing, it taught me so much. Btw... Why does your text have a line through it? ​@@johannas.l.brushane2518

[@amnesia1408]

Full of contradictions. At first he said that he never ate much and could just gain weight by looking at a cookie. But then he said that he used to order thousands of calories worth of food at McDonald's. That even at school kids called him human trash compactor because he would eat other kids leftovers.

[@LifeAfterLosing]

Exactly. Binge eater and his amazing psych doctor just fed into his disorder instead of helping him with it.

[@og666]

bruh chill. people struggle. i doubt he's being malicious here

[@amanda-et6pv]

Yeah I felt like he was still regurgitating HAES rhetoric at times..like the body thinking it’s in famine after eating 16 cookies…now how the hell does that work lol. Not sure if he fully understands his body yet but I’m very happy for his success so far!!

[@elektraantoniadou2590]

He obviously has had, has and maybe will continue having difficulty counting calories and most importantly, avoiding them, hence the confusion in his head on the subject.

[@kimicope_]

Yeah that's binge eating lol. When I binge ate I would go 6 days eating maybe 300 calories and then on the 7th day I would eat the whole house. I basically didn't trust myself with food so I tried so hard not to eat. I eat normal now and maintain my weight without calorie counting. I just stop as soon as I feel satisfied instead of stopping at full or over full

[@Lau3464l]

I think he touched on something really important- how when you’re obese, especially to this extent, you lose your social connections and ability to do things that bring you joy, and all that’s left to bring you joy is the hyperaccessible things like sedentary tv and fast food delivery. But once you get a shot at being able to do things you enjoy again, everything else snowballs back into your life, and those things allow you to no longer rely so heavily on food for dopamine, and inherently you spend less time overconsuming. Walking, spending time with friends and family, going outside, standing at concerts. All these things can fill your life where you previously relied on food as you desperately try to feel good in your day-to-day (especially since obesity forces your body in so many ways to be chronically stressed and therefore seeking relief).

[@dangerszewski9816]

you gave me a new word today, which I think is just... a real wow moment. "hyperaccessible" is the flip side of hyperpalatable. I had never realized this before but it absolutely is true. It's not just that it overrides your hunger signals and lets you eat tons more, but it's also **everywhere**. I just mentally added it up. in a two-block radius of my home there are .... 7 places that will sell me Doritos, TWO that sell bread and ONE of those would sell me an apple. (liquor store, two gas stations, two bodegas, two dollar stores, of those only the bodegas have bread and one of them stocks fresh fruit).

[@loiracitr]

I think it's cool that you interview people with such a different perspective, but I think you should challenge them a bit instead of nodding for the whole time

[@Loveless0131]

I agree. I heard a lot of projection (I'm like this because of this) and not much insight (i thought this and did this, but changed to this). I would have loved to hear some challenging (but respectful) dialog in the interview.

[@herefortheshrimp1469]

A few “and where are you getting that information? because that’s not what I’ve personally seen in the research” would’ve really improved this. Interviewing is a skill tho so I understand not everyone is going to think of these things

[@loiracitr]

@@herefortheshrimp1469 I suspect he just wants to be respectful

[@xwhitneywrathx]

Nah, Beast knew he was full of it. He's just a gentleman.

[@lisaskatesIRL]

This. This wasn't an interview it was a monologue. 🤷 Interview implies questioning.

[@whylime21]

I watched the whole video and it really seems worrying that he keeps repeating that "calories in calories out" doesn't work, when it clearly DOES, and is exactly what is happening with him losing weight with the aid of the GLP1s. I'm not arguing that the food noise problem isn't real, and certainly is a major factor (it's a large part of why I struggle with my weight), but I'm not over here saying that CICO doesn't work. It seems very concerning to me that he thinks that way still, I hope it won't come to be a problem for him down the road if/when he eventually goes off the drugs. I'm glad he's doing better and regaining life back but I hope he can take some personal responsibility as well.

[@Elizabeth-n3v2u]

The reality is way more nuanced and complex than CICO and anyone who has dealt with a hormonal disorder recognizes this. Hormones can have a massive effect on how people gain weight. Take hysterectomy patients for example. I'm in a post-hyst support group, and the number of women who have lived a physically active lifestyle for decades, have never had a single issue with weight and know how to eat healthy that suddenly gain shocking amounts of weight after their hormone balance is disturbed by the surgery is mind blowing. I know so many women who, aware that weight gain can happen post-hyst, even increased their gym activity and decreased calories to try and negate the effects and STILL ended up with uncontrolled weight gain. People who carefully count calories and are not experiencing uncontrolled hunger. People who don't have eating disorders. This is also common in menopausal women. Many of them are eventually told by dieticians to just accept being overweight, since the amount of calories they have to eat for weight reduction is so small that it's impossible to actually survive long term with that level of deficit. Often, they go on heavy duty weight loss drugs, slowly lose, then go off and immediately gain it back. The one thing that helps these women? Hormone replacement therapy. That's the silver bullet. But many of us can't have it due to cancers, endo, or other risks and so they will be overweight for the rest of their lives, unless they want to try and survive on 700 calories a day and become malnourished. This is the role that hormones play on weight and doesn't fit with the CICO narrative.

[@whylime21]

@@Elizabeth-n3v2u I know there are exceptions, what you are speaking to is not at all what my comment was about. CICO works for a large majority of the population, and that is why the GLP1 medications work (they reduce food noise and causes people to eat less calories). There of course are other conditions and things that can complicate things, but that's not what this video was about.

[@Deja-gg4dg]

Yeah I found it a bit disturbing how he kept mentioning his endocrine system, positioning obesity as an inflammatory disease that kind of just “happens,” and seeming to believe that those were the things keeping him from losing weight. It completely ignores the fact that most people’s endocrine systems are disordered because of the food we eat and our environment. Also, adipose tissue is inflammatory in nature… but you only gain excess adipose tissue from eating in a caloric surplus. And the idea of eating “whatever you want” while on medication doesn’t solve the underlying problem, unless he plans of increasing his dose indefinitely, which I’m unsure if that’s healthy or possible.

[@starojunes]

Yea once I came to the conclusion that eating hyperpalatable foods CONSTANTLY that are super low in nutrition but high in calories leads to unwanted weight gain it suddenly became easier for me to maintain my weight. You can still have a cookie or some fries every once in a while but seeking out that easy dopamine hit from these foods everyday will lead to obesity. I had to find other ways to seek more pleasure out of life while also finding ways to satisfy myself with food. It's difficult and not everyone is the same. I find that adding way more fiber to my diet helped but for lots of people this won't work. It seems to me like he wants to keep having these hyperpalatable high caloric low nutrition foods as a main source of his calories and can't let it go.

[@mackereltabbie]

Yeah it's like he's still having a hard time accepting that he's actually been eating that much, even if it's his ADHD that makes it hard to notice and keep track

[@meghang1030]

I have mixed feelings about this interview. Calories In, Calories Out is a matter of the laws of thermodynamics. It works. However, hormonal imbalances may affect how efficient a body is with using calories versus storing them. Exercise helps with weight loss for several reasons, too. You do burn calories, sure. But exercise can also help add muscle which further promotes calorie burning over a longer course of time. So someone who exercises to compensate for calorie ingestion is doing so for valid reasons. Zero issues with taking Mounjaro for him. But I find the lack of personal responsibility on Nathan's end to be a tich annoying.

[@Nindira]

My same thoughts

[@terminaldeity]

Hormones affect things like appetite, not how many calories you need.

[@meghang1030]

@@terminaldeity Read again. I said how efficient a body is with storing calories, not how many you need. And I never said or implied that hormones didn't do other things.

[@Geckogeckos]

I agree, the discussion during 55:15 was concerning to me

[@hgiles7280]

I hate to say it, but there’s definitely some victim mentality here. He labels all his problems as external, things that were done to him, people that didn’t help him, mental conditions no one gave him the fix for. Should have seen a PT, but you told yourself you couldn’t. Saying things like “my body cannot lose weight on its own” while acknowledging that calories in and calories out works… doesn’t match up

[@amanda-et6pv]

I agree… he said his roommates kicked him out and then immediately followed that up saying he left because they didn’t want to help him. That part puzzled me because what are your roommates gonna do for you when you’re gaining hundreds of pounds? That’s not their responsibility. And the not even trying PT because he knew it wouldn’t work and he was in too much pain is so funny because PT is literally used to ease peoples pain with movement. You have to start somewhere to improve your physical state. The medication is a great aid and solution but he basically didn’t change anything else about his mindset or behavior besides that.

[@hgiles7280]

@@amanda-et6pv well said!

[@juliaisprobablyalreadytaken]

I am very sorry that he suffered with his weight. That being said, I find his last comment about “not having to change his diet” around the 57 min mark alarming. He referenced eating DoorDash and fast food, these are energy-dense, nutritionally poor foods designed by companies to override your brain and get you to eat as much as possible. I suspect he would have better luck with CICO on a whole foods, minimally processed diet.

[@alexandermendez4653]

What is CICO?

[@emeryltekutsu4357]

Yes. On CICO, if you follow it, you pay more attention to what actually makes you feel full longer. Which is usually more nutritious food. It's okay to not eat perfectly on it. As long as you keep under the calories, you WILL lose weight. But the days you eat poorly will suck because you'll get hungry again fast. For example, I ate burgers and pizzas on it. Not all the time, but I did, and they kept me 'full enough' for long enough to work them into the diet. Cake? That's much harder. Same with ice cream. Those won't fill you at all.

[@alexandermendez4653]

I figured it out

[@raqui174]

He was eating a ton and wants to blame dysregulation.. now he is taking an appetite suppressant and miraculously is loosing weight

[@notsaying6090]

@@raqui174 Dysregulation of appetite

[@brayden7649]

Nothing but respect, I loved hearing the story and I relate in a lot of ways. I do disagree with his statement at the end where he says the weight “isn’t your fault” while your intentions weren’t to get there it ultimately was your decisions that led there. Learning that accountability has been a massive mentality shift for me and makes me more motivated than ever knowing my results are in my hands

[@catnipclementine]

Glad he's found something that is helping him. I do worry about his assertion that because 40% of Americans struggle with obesity, 40% of Americans are exempt from CICO. That's concerning, as it seems he may still believe diet has no "real" impact on weight management. Even for himself, he says CICO didn't work for him until he started semiglutide but now it does, and that he's glad he hasn't had to change the way he eats. That's troubling. I hope he can keep making the changes he needs to to live the life he wants.

[@boosqueezy2418]

he’s still brainwashed and lacking personal accountability. he’s blaming everyone but himself and repeating patently false FA rhetoric. he embraces that victim mentality and relies too much on others and medication. hopefully someday he will fully see the light

[@LifeAfterLosing]

@@boosqueezy2418 hopefully. Hopefully it will be soon. Weight loss meds don’t last forever. Just like weight loss surgery, you have to get your mind right or the weight starts coming back after about 2 or so years.

[@boosqueezy2418]

he’s still spouting a lot of FA garbage…

[@LowBMIVoice]

Yeah, he's all over this comment section and his outlook is still an absolute TRAINWRECK. Still no personal responsibility and "I'm the victim" all over the place. Sad video, this one. Would have been more hopeful for recovery if he wasn't down here spouting off and doubling down.

[@LifeAfterLosing]

@@LowBMIVoice 100%. I wish there was some pushback on his views because I don’t think anyone has ever made him question them. It is also strange that he clapped back at people who are genuinely concerned for him. You know who isn’t and wasn’t genuinely concerned? FA’s. So why come for people who are anti FA, knowing that the FA’s done you dirty?

[@jadep5863]

I use to justify being 300lbs. I didn't look as heavy because of where I place it and my height. Plus I have a pretty face. But one day it hit me that just because I look decent at 300lbs doesn't mean it's good to be that way!

[@CorntwallLipstickQueen]

Nobody cares

[@blacknoisyblue]

@@CorntwallLipstickQueen you cared enough

[@eri020]

@@CorntwallLipstickQueenno one cares about your weight loss story either bozo

[@dangerszewski9816]

@@CorntwallLipstickQueen what did you add to the world with this comment? Have you done anything positive? did those words need to be said?

[@poot-poot]

@@CorntwallLipstickQueenso how come you get to make comments in videos about how much weight you lost but if someone else does it you feel the need to put them down?

[@LifeAfterLosing]

He had a masochist for a therapist. I have worked in the medical field for decades now and can honestly say that there are quite a few mentally unstable people who work in healthcare. Specifically in the mental health field. You must screen your mental health pro and make sure they are a good fit and get differing opinions. If something sounds off, it just might be. But, he still has issues taking any responsibility. He needs to start looking inward and stop pointing fingers outward.

[@christinerodriguez3976]

I agree

[@natelevicurrie]

It’s hard when you’ve been conditioned to believe your providers and over the years you accept what they tell you as truth. I’m thankful to be free from that and that I had the courage to advocate for myself once I could no longer work or live life on my terms. I don’t think that my therapist is a masochist by any means. She works through the lens that she has through her own life experience and education. She helped a great deal in other areas of my life. I’m very thankful for that. We had very different views when it comes to the disease process and my misdiagnosis of my ED. Life is very gray and not black and white. I’m grateful for what I learned from her and then it was time to move on!

[@LifeAfterLosing]

@@natelevicurrie I am glad that you had the courage to do it too! I am also glad that you had the knowledge to do it, because when you are stuck in those echo chambers, it is hard to see that you are getting fed incorrect information. It's hard to even believe it, so I give you a lot of props for that. I truly do wish the best for you, and I want you to know that there are many people out there that have chosen to lose weight, and choose to keep it off for many years. I have kept it off for 7 years now, so that 95% failure rate number may be accurate when it comes to "diets" in a very generic way, but we are not talking about the cabbage soup diet or trim spa. It really is simple once we get rid of the BS that we were raised with and/or learned over time.

[@cyndoherty563]

I think you mean sadist. Masochists like being hurt, sadists like hurting others. They pushed this man to hurt himself for their own pleasure that is not even just sadism, it's sadistic abuse.

[@LifeAfterLosing]

@@cyndoherty563 that sounds about right! 😂

[@velveteenally]

So many excuses and so much incorrect info from this man. CICO applies to everyone, full stop.

[@EllePole]

Exactly. Strand him on an island to fend for himself and he won’t be gaining weight 😅

[@JulissaPB]

It does, but some people need help with the “CI” part… that’s the point here - for those that need help, there are options to get better instead of just slowly killing yourself from an addiction.

[@velveteenally]

@@JulissaPB I don't disagree with that, though I think he should have said as much instead of blaming his weight on "my body doesn't burn calories" or whatever excuses he is trying to make for himself here.

[@janerecluse4344]

There actually are genetic differences in how people process stuff. Not in a nebulous, hand-wavey way, in a, "no, really, the Pima get fat waaaay easier than everyone else," way. The Pima come from Death Valley, and are, in fact, selectively bred to be thrifty, because ancestrally, there's nothing to eat out there and everybody who needed more than 1200 calories a day fucking died. Now, plenty of people are just making excuses, but certain genetic lines are optimized to survive in really hungry places, and have slammed head-first into Big Gulps and cheap pizza.

[@AbiGodinha]

John, gentle yet honest pushback isn’t disrespectful or rude. Quite on the contrary, it is the epitome of respect, because it inherently means that you’re treating someone with intellectual esteem by believing ahead of time that they’ll rise to meet the challenge and will bring you interesting, intelligent, insightful counterpoints, or else see their own errors and correct them. The Socratic method is very, very useful!

[@laceylately406]

His story proves how dangerous a provider or therapist who believes in FA nonsense is. They almost took his life. sadly, you can tell a lot of that FA mentality is still ingrained in him from his therapist.

[@BrotatoGang454]

I’m conflicted with this interview. He said “%95 of diets don’t work. That’s factual.” but they do. A diet can mean anything. If you’re eating in a surplus, you gain. Eating in a deficit, you lose. Diets do work.

[@fibleyp]

for benefit of the doubt, let's assume he's talking fad diets so keto, atkins, etc

[@BrotatoGang454]

@@fibleypYeah that’s what I was hoping but at the end (about 54 mins) he mentions “For 4 out of 10 people, calories in calories out doesn’t work”. I kinda wish John had spoken up more to correct some info.

[@natelevicurrie]

@@BrotatoGang454for folks that have the disease of obesity or diabetes, calories in and calories out don’t work due to the dysregulation of the endocrine system. It’s like eating a cookie and only being able to use 5% of its stored energy because the body can’t process it correctly. I can now process food more efficiently. I’m able to get more energy out of less food. I gain satiety like a normal functioning human would. My body is no longer limping along. 🙂

[@honeybison]

yeah he’s delusion. even admits to restricting and binging which takes him out of any deficit he tried to create.

[@honeybison]

@@natelevicurrielaws of thermodynamics applies to everyone. if we locked you inside of a closet, you would lose weight.

[@beultra3083]

The doctors were not ignoring his pain. They prescribed physical therapy to help with pain and he decided it wouldn't work without even trying.

[@JmoMoto27]

I worry that with the way he talks about food I really worry that once he's off the meds, he will quickly regain all the weight. You don't gain that much weight eating "normally". Cals in Cals out does work, are there factors that will make things more difficult? Yes. A lot of what I'm hearing just sounds like excuses if I'm being honest. I have personally lost 110lbs since Jan 2023 with nothing but calorie counting and exercise, unless you have some serious (valid) medical issues this will work. I just hope that he corrects the actual underlying issue for his sustained weight loss BEFORE he has to come off the drugs.

[@Lau3464l]

There isn’t typically a plan to ever go off these meds, they’re presumed to be a lifelong prescription.

[@raqui174]

I was thinking the same thing.. he was able to loose weight before without the medication so he is capable.. he lost weight and never changed his mentality now he thinks without this medication he can’t loose weight when the reason why he gained so much weight was not because he was just eating a cookie.. he was eating a shit ton

[@JmoMoto27]

@@raqui174 Yeah that was the line that really made me question his commitment to lifestyle change. Dude, it doesn't work that way. I know he was using hyperbole but it just pointed toward his whole attitude.

[@loiracitr]

The good news is that he is not planning to get off the meds. The bad news is that he is saying that you have no control over your body.

[@AnnaBurivuh]

he absolutely will

[@reaperkollyns6495]

I really hate when they call BED "Atypical anorexia." Binging + purging = Bulimia, Binging + restricting = BED, Just restricting is anorexia. I could see something like eating a normal amount then exercising an absurd amount in order to lose weight could be "atypical anorexia" or "exercise Bulimia." Anyway, really interesting interview, I just hate using anorexia for obese people. Also, 95 percent of diets don't fail. 95 percent of people suck at self control and responsibility. A good lifestyle adhered to works 100 percent if the time.

[@Lau3464l]

Atypical anorexia is a legitimate diagnosis, it’s defined by a person having the behaviours and psychology of anorexia without being underweight. It has its own classification because treatment is about tackling the mental/behaviour aspects without the emphasis on renutrition, so it’s much more about psychological health without the need to incorporate necessary weight gain like in typical anorexia. Treating atypical anorexia is about combatting persistent fears surrounding eating, obsessive thoughts about one’s body, restricting food intake, obsessing over weight and weight loss, etc., which is incorporated in regular anorexia treatment too, but it’s a different therapeutic approach when you’re not desperately trying to get the person to eat more to treat symptoms of malnutrition and starvation. Those mental/behavioural symptoms can be seen in anyone of any size.

[@Lau3464l]

⁠ EDNOS is no longer in the DSM, it was reclassified as OSFED which includes atypical anorexia and other diagnoses occurring at less frequent/severe criteria than otherwise described (such as purging with fewer purging episodes than required for a proper bulimia nervosa diagnosis - this allows people to receive diagnoses and treatment while their symptoms are less severe, to hopefully heal it before it reaches that point)

[@emeryltekutsu4357]

@@Lau3464l I don't like the name, either, because it makes people think one particular thing. It's often a, "See? I barely eat!" response to other people because anorexia is very clearly defined as one thing for most people. And it backfires because people can tell that someone using it to shield themselves from claims that they eat too much are obviously eating too much, making it seem made-up and illegitimate. So it's not really good phrasing.

[@marissariley7319]

@@Lau3464lwhile this is true, I always understood AA as a patient who’s PRIMARY behavior is restriction. You can’t be obese if your primary behavior is restriction. BED would encompass these behaviors much more clearly, i.e., primary behavior is binging followed by episodes of restriction that also lead to binging. AA was never meant to be used for those who are obese and binge more than they restrict. It was meant for people who restrict enough to negatively impact their physical and mental health as those with AN but don’t meet the weight requirement. It’s the same reason amenorrhea was taken away from the Anorexia Nervosa diagnosis; it was not present in the majority of patients who suffered from every other symptom of AN.

[@Briman242]

Of course I congratulate him for going from 600+ to 300lbs, I dont agree with some of the things he said. He claims “95% of diets fail meanwhile he didn’t try a diet besides binging and restricting. I also wish he got into how his diet changed while taking the medication. Props to him though, and I hope he can keep it off

[@ivanrod2550]

He also blamed he’s roommates ? No accountability

[@sapphirek5244]

I think that part was sort of vague to be fair. I am trying to practice extending the most charitable interpretation, and I’m not sure what he said is 100% him blaming his roommates. It’s possible he is, but he also included stories from way before that where he knew he was overeating by a lot, so it would be strange to blame the roommates for something he knows started long before even meeting them. It is, unfortunately, not uncommon for people to be negative or antagonistic towards someone starting a weight loss journey for some reason. It’s not necessarily their responsibility to help, but it is absolutely fair to want to cut ties from people who aren’t being supportive at all, which may have been the case.

[@PrettyBeigeJazz]

He said they didn’t wanna help him.. like come on ppl have their own shit to deal with

[@malik_alharb]

Delulu is the solulu

[@DadBodtoBadDad]

Self responsibility.

[@LifeAfterLosing]

Exactly!

[@natelevicurrie]

🤘🏼🤘🏼🤘🏼

[@ericas3289]

Another person that takes zero responsibility for their weight gain and has not fixed their relationship with food, but just relies on the medication.

[@tangie06_33]

I'm almost to the end of this and I am not seeing how "fat acceptance" made Nathan gain 400 lbs. It's also pretty offensive, to be honest, that he took a job and then went on medical leave a month later because he was too obese to perform the job duties. He knew he couldn't do that job but took it anyway and because he went on medical leave, they couldn't backfill the position. So someone lost out on a job and his co-workers were left with the burden he created. I'm hearing a lot of blame placed on everybody but himself and a complete lack of awareness how his choices have impacted people around him and society in general. Selfish.

[@reaperkollyns6495]

The victim mentality is so common with any type of addict it seems. " It wasn't my choices, it was my body's disregulation" BS. If people can't break that mentality, they will keep failing.

[@LifeAfterLosing]

I’m glad I am not the only one that heard this. As someone who was morbidly obese and also is now in a position where I have to hire people, it would give me pause to hire people like that for this exact reason. People want to scream “fat discrimination”, but it’s protecting the other employees from having to do the work of other people. If they are out on medical leave the others can’t take time off to vacation or, haven for bid, get sick themselves. It’s so extremely selfish and shows zero lack of self awareness. The therapist was obviously lacking in many areas besides the fat acceptance nonsense.

[@Lau3464l]

@@reaperkollyns6495 denial helps people make progress. Eventually they will hopefully understand their life better in retrospect, but they have to live long enough to be able to do that. Self awareness takes a long time, especially for people who have been trapped in a cycle for decades.

[@boosqueezy2418]

i couldn’t agree more!

[@natelevicurrie]

I’ve worked at the same organization for nearly a decade. I shouldn’t have to explain that to you. Anyway, please educate yourself on chronic inflammatory diseases of obesity and diabetes. I had no control over the disease process. This is why I needed therapeutic intervention from a doctor who prescribed medication.

[@apt5044]

So.....the dietitian did you wrong, the rehab failed you, your flatmates didn't help enough. These are all just tools for YOU. Weight loss is maths. Eat more calories than you need and you gain. Eat less and you lose weight. You may have different levels of satiety based on what you eat but the rules of thermodynamics always apply. A victim-like "fix me" approach is a common theme for obese people. I have fully recovered from 2 EDs and tools helped but....I set the patterns, I ate the food, I decided what to eat and when to stop. I also learnt how to ignore cravings.... all me though. The more YOU do it, the easier it becomes for YOU. Period.

[@jsevestjanova]

I do genuinely think there are people who struggle in a different way with this. There are conditions that make you more susceptible to obesity. HOWEVER, calories in, calories out IS real and it is how weight loss or weight gain functions. That being said I do think some people metabolize differently. Maybe for some eating a little over necessary calories really throws their hormone signaling off and makes them over eat and it messes up their satiety signals. And maybe for some it doesn't really affect them that much. Idk I still think he has a long way to go mentally with this topic. I'm still happy he's got a better life now though!

[@ggg67265]

He's so big and struggling with pre-diabetes and all these other issues but yet he still said "I ordered a quarter pounder, not a double quarter pounder, but a single because that's all that I need" no, sir, all that you really need is to stay away from any fast food. Not allowing yourself fast food isn't restricting, it's a choice to do better for your body. Normal people don't even have McDonald's on a regular basis or EVER give McDonald's as an example as part of their diet. "Oh I eat less McDonald's now" no, you should have absolutely NO McDonald's.

[@lde2040]

Glad that hes turning his life around! Good for him🎉

[@jaimereynolds258]

Agree. Good for him ❤

[@natelevicurrie]

All thanks to life saving medication. I’m thankful that I get to go to sleep every night knowing I’ll wake up in the morning. I have so much to be thankful for. 💜

[@christinerodriguez3976]

Fat Acceptance is the worst thing to ever hit social media. No one, no one should ever accept being obese/fat. This is part of the reason why we are over 50 percent obese in this country. For shame!!🙄🙄🙄

[@LifeAfterLosing]

100% accurate

[@Vasilia4]

No it isn't remotely part of the reason why over 100 million Americans are 0b3s3. That send started well before social media. Take some accountability

[@natelevicurrie]

I think it’s also important to note that it’s not someone’s choice to be obese. It’s a chronic metabolic disease. It’s been accepted as one since 1997. We’ve had medication for its treatment for over 20 years. We need to start changing the narrative. It’s hard to not accept it when most of the world yells at you and tells you that it’s your fault and bad decisions. That’s factually incorrect.

[@christinerodriguez3976]

@@natelevicurrie bullshit. I was fat, and I caused that. I changed it by diet and exercise. That's just an excuse not to do anything about it and stay the status quo.

[@LifeAfterLosing]

@@natelevicurrie Why weren't people fat at the same levels that they are now 30 and 40 years ago? If it were strictly a disease and not due to lifestyle choices, the problem wouldn't be just a first-world problem. This "disease" isn't spreading in Africa or India. It's spreading where people have access to more food and easier lives, and that should tell you something.

[@LifeConAlex]

I wish you’d share the company because I’m in Seattle and I’ve been looking into places like that. And now I’m even more worried to do so. Keep them accountable. Please share the organization/ clinic.

[@herefortheshrimp1469]

Same here. I want to stay sooooooo far away from any medically associated organization that supports HAES

[@Crazydoglady66]

I agree with almost all of the comments on this video. He was spewing a lot of HAES misinformation, and lacked any accountability for his weight getting to where it did, and the health issues that came from being that weight. It was a constant stream of him blaming outside sources for his problems.

[@Jan74]

He's still full of HAES rethoric and taking no responsibility.

[@user-tr8bc9cd4n]

“It kinda of feels like the song birds in the spring are back” 🥺 I’m so happy that you got your life back Nate! But please understand that you have a lot of misinformation, which is important because if you ever get off Mounjaro, you can’t have this mindset. You won’t be successful. You’re giving all the power to Mounjaro and even saying that the “disregulation” in your body would come back if you ever stopped it. You’re saying you don’t even need to have a good relationship with food anymore. I think you need to still be working on these things, just in case you ever have to stop Mounjaro or it stops working for you. I just have a very bad feeling that if anything goes wrong with Mounjaro for any reason, you will gain your weight back and possibly even more.

[@dangerszewski9816]

this one was eye-opening for me because I realize if I got a bad doctor this could have been me. This is why FA is so dangerous and we need to be vigilant and keep pressure on the AMA and other gatekeepers to keep this out of mainstream medicine. Instead I got someone who was gentle, did not lecture, but gave me the facts, my health was (and is) still very good overall but there were signs that may not continue much longer if i didn't change my life. So I did. As of yesterday I am no longer morbidly obese I am just obese, I've lost about 100 pounds from my highest and am under 300 by just a hair now (I'm over 6.5 feet tall, I will never be under the mid 200s)

[@Jan74]

Congratulations!

[@Otteal]

That's awesome!!! Congratulations!!! 🎉🎉

[@fartmaster009]

I was in a somewhat similar boat, I was always chubby. At one point I remember being 160 lbs at 5'3. And complaining about it and then getting swooped up by some body positivity people. Now I have been going from 210 to 240, back and forth for like 6 months. Right now I am around 211 lbs, although it was due to being (and still being) sick. I'm hoping after my sickness blows over, I continue losing weight but in a healthy manner. (edit) I forgot to add three-ish weeks ago I went to do the ER cuz I was having some terrible reactions to some medicine, I was around 224 lbs. Three days ago I saw my dr and was at 211 lbs, which was an alarming amount to loose in since i have been super sick.

[@Lau3464l]

Hoping for the best for you and I hope you feel better soon!

[@KettleBlacktheBat]

I hope that you just get healthy. If losing weight happens as a result of that, then so be it. But losing that much weight that fast is not a good sign.

[@fartmaster009]

@@KettleBlacktheBat I know, it was a result of being sick for a while. Hopefully it ends soon, cuz being sick for a whole month so far sucks 😭

[@deeviousrat]

get well soon!! keep it up you got this!

[@EllePole]

Umm… i have an autoimmune disease with more severe inflammation than being obese (which is chronic low grade). I have been underweight up until my early twenties and up until my early forties I have been a true healthy weight well within my bmi. So inflammation does not cause me to gain weight. And if I stopped eating half of my diet daily guess what.. I’d lose weight. Because calories in and calories out is a real thing.

[@jacklemay03]

Obesity is a complex and complicated disease you may struggle from an autoimmune condition but not a metabolic disorder or the disease of obesity.

[@goldrose3019]

I’m obese AND have an autoimmune disease which is on the mend due to carnivore diet. Inflammation goes down and so does my weight, as well as autoimmune symptoms

[@JOU3TS]

Calories in calories out work for the majority of people. There are health conditons which can affect the pace at which someone can lose weight while practicing calories in calories out, but it's dangerous to spread misinformation about it not working for most.

[@terminaldeity]

Not just majority, literally everyone.

[@EllePole]

So we’re all ok with morbidly obesity … but we can’t work, walk, drive a car, sleep without a breathe machine (iyk,yk) stand, go out with friends, travel, visit family, etc. And yet, FA people demand we cater to their needs and not judge them. But come on. I’m glad he’s on the right track but he’s still got a major victim complex and has a lot of excuses. I hope he continues to grow and moves beyond that perspective.

[@good_day_to_you_sir9042]

Nathan was already overweight and the best solution that these people came up with was "You should nourish yourself"? This is some crazy 'War is peace" BS 🤡

[@Jan74]

As Dr. Now said, "you are not gonna starve."

[@thatdinho]

I feel like this guy is just lying about everything

[@Conformist138]

He's clearly still working through some stuff (aren't we all). He says that stuff like ADHD causes people to "need" more cookies to get the same satisfaction, but then still falls back on the old, "If I eat just one cookie, I'll gain weight." We know the second one isn't true, and more likely the truth is, "If I eat just one cookie, I will feel incapable of stopping until I've eaten 16 cookies." The weight is ONLY coming from food because the human body has no other mechanism to bring in energy. All the other reasons are explanations for why people struggle to find caloric balance.

[@terminaldeity]

I mean, if it's a 150 calorie cookie on top of his daily caloric needs, yes, he will gain weight from that one extra cookie, because it's extra calories. He doesn't seem to understand that concept.

[@jembear888]

Some of these people didn’t even finish the video before they started being rude with their comments. 10 minutes into it being uploaded…. Like just take the time to hear someone’s story and understand them.

[@tangie06_33]

I finished the video. I stand by my comment.

[@BluesMinorSwing]

​@@tangie06_33so you recognize yourself as rude 😅

[@jembear888]

@@tangie06_33 what about what he said is wrong? He went through a journey and then found a way to lose weight and lives a better quality of life. If that’s not up your alley why do you even watch obese to beast lol ?

[@jembear888]

@@BluesMinorSwinghaha exactly! Well if the shoe fits 💅🏽

[@tangie06_33]

@@BluesMinorSwingNo, I don't think my comment is rude. But I see how defensive some people are. And this comment was posted right after mine so ....

[@kyraconsiders]

You should be so proud of yourself. It took me 30 years to figure out what worked for me, a little bit of hormonal disregulation, a little emotional soothing with food, enjoying social events surrounding food and finding out I had a genetic skin disorder lead me to keto and counting macros which worked. 70 lbs down in 2021/22, gained 20 lbs back due to grief in 2023, and now I’m back on track to get down to my goal weight.

[@OrcaLights]

I’m in-between here. I firmly believe in the calories-in, calories-out method, but I deeply struggle with binge eating tendencies and self control, so I am on medication to get it under control. I’ve tried to three years to control it myself, but eventually I gained 140lbs so I decided I just needed to swallow my ego and take the damn meds for my own health’s sake. Who cares if I did it “naturally” or not, as long as I don’t have a heart attack at 35? Medication to help with weight loss is a wonderful tool but I agree with Beast here that calories in, calories out is a true statement. I gained weight because I lack self control and overate most days. My medication has taken my cravings and obsessive hunger to an incredibly manageable level and I’ve lost 20lbs in 3 months.

[@charlottej9772]

Im so pleased that Nate has become more active and by the sounds of it started living. I guess it just rang alarm bells for me as it sounds like the exact chatter I used to do on my fad diets… “Cambridge diet has fixed all my problems… Slimming world is the best thing to ever happen to me… weight watchers teaches me portion control…” Putting your faith in the external instead of internally is always rocky foundations for the future. I wish him the best of luck with his endeavours though, thank you for sharing too x

[@Solitaire427]

You are worth it Nathan! Keep up the good fight!

[@lissa3046]

I’m just so mad at his care providers, they basically told him over and over again that there’s no hope. I don’t agree with everything he said, but I can tell how much his mindset was shaped by those providers and it just infuriates me because they essentially kept him in a state where he was struggling, in pain, etc and that’s just not fair. Your healthcare providers are supposed to help you live your healthiest life possible and they failed him so much in the name of what exactly? Body positivity? There’s nothing positive about your life being so disrupted by your body that you can’t even have a social life or stand still. I hate that for him so much.

[@mcmak720]

Kind of messed up to try and blame his former roommates for not taking on his mental and physical issues.

[@cyndoherty563]

From one survivor to another, what this man went through is considered therapeutic and psychiatric abuse. Those doctors and therapists had an obligation to help this man and encourage and support him in pursuing his health and instead they abused him.

[@ChrisOdinson132]

I had an evil, evil pediatrician when I was younger. He knew I was SAed, he knew I had a learning disability, but he was so hyper focused on my weight. It wasn't until I went to therapy years later and got actual help did I start actually getting stronger and healthier and losing weight. I'm glad this guy spoke up.

[@c_juon]

Really loved Nathan's transparency and mentality. Super proud of him and his progress!!

[@galaxyrose15]

I believe everyone has a right to accept themselves as they are and feel beautiful/handsome. What I don't agree with is when people try to say being overweight or obese is healthy because it absolutely isn't.

[@femalesupremacistoverlord6800]

Not to be mean but it is the individuals fault. You choose to keep eating and not moving enough and the only reason “most diets don’t work” is because most people don’t have the discipline to keep up with an extremely restrictive diet. Calories in calories out is the rule, not the exception. Unfortunately this guy seems like the type who doesn’t want to take accountability and face up to the consequences of his actions, and would relapse into bad habits if he went off medication. He’s still trying to buy into excuses like “inflammation” rather than address his lack of self control.

[@RachelReduces]

Much love and respect to Nathan! 🥰

[@natelevicurrie]

💜💜💜💜

[@electra424]

Thank you Nathan for sharing your story it is so important to hear this.

[@katlopez7707]

I feel you Nate, when you say towards the end that understanding CICO doesn’t work for everyone. Some people, myself included, need to work doubly hard to keep the CI less than the CO. I have accepted that I do need to track food more closely, be more mindful of triggers, and manage food noise more diligently than my normal-weighted friends. If taking a weight loss drug makes the inherent struggle more manageable, then by all means we do what we must. We play the cards we are dealt with.

[@Rubbertramp_me]

Diets work. If he gained 200 lbs in a couple years he had to be eating 5k plus calories a day. It’s denial or flat out lying to claim no matter what he does he gains. Weight gain or loss isn’t a mystery. It’s basic human knowledge. You want a hard body, it takes hard work every day. Nothing is gained by lying to yourself

[@raqui174]

I like this interview but yes it is your fault.. he was eating a ton of food now he is not so of course you loose weight..

[@bryansherman7766]

I was the exact same kid. I’m 33 now and in shape but when it comes to eating. It’s got to be a lifestyle. Every single day you’re trying to get your body in a caloric deficit. Everyone has 2 options. Workout/Cardio enough so you can eat more. Or keep track of all calories and make sure you’re managing your consumption.

[@allison493]

The amount of mental gymnastics he seems to be doing is alarming. He talks about how regardless of what he does, he gains weight but also references binging. While I do feel there can often be other factors at play with regards to weight gain (i.e. once on diabetic medications it can be challenging to lose weight, especially in the mid-section, or for women with PCOS etc..) it feels more likely that the issue here is him not actually being honest with himself about what and how much he is eating. I also echo the sentiment of many that I feel you should have challenged him a bit more on many of these points. He still seems to believe much of the FA rhetoric.

[@BaDazai]

We are ALL have been exposed to fat acceptance. My best friend is obese, my mom used to be obese BUT DESPITE all this exposure to obesity I'm 47.9kgs and have never been over 50kgs. The correct wording for your guest is that he used fat acceptance to eat irresponsibly, he chose to eat. Otherwise we'd all be obese with how much exposure we've had to fat acceptance. Taking a stance and making change starts with personal accountability. ❤

[@CorntwallLipstickQueen]

Aw someone wants a reward for being bf 47.9 kgs and surviving your fatties 😂😂

[@Lau3464l]

Correlation doesn’t equal causation my dude

[@Natnat994]

Your thinking is over-simplistic and reductionary. No one is arguing that simply being "exposed" to an ideology will automatically mean you will start engaging in it. That's ludicrous and he never said that. What I think you're missing is that people who engage in FA ideology are usually overweight/obese to begin with. They likely struggled with their weight like this guy did for many many years and, sadly, ended up getting sold on the concept of obesity being okay because they were frustrated with their own failed weight loss. There is so much self-hatred tied up in being fat, especially if you've always been fat, and FA offered these people a way to finally feel good about themselves. They were the perfect prey for these predators. You would never join FA because you're not the kind of person that reasoning would ever work on.

[@natelevicurrie]

lol it’s because I have insulin resistance and diabetes. A symptom of that is insatiable appetite. It was out of my control. Congrats on not having the genes for these chronic diseases. Maybe try learning about how these folks live instead of bashing us. Living with a dysregulated endocrine system isn’t anything I would wish on anyone. You seem to have one that works splendidly.

[@natelevicurrie]

@@Lau3464lboom! 💜

[@sentient_beanbag]

I'm glad he's getting some help but there's still no personal responsibility that I could find 🤷

[@okaycola2]

Um what? Anorexia eh. Okay well gotta run

[@jjbobby1969]

Even if it was just a get thin quick shot, if you are morbidly obese you are in danger and need to lose weight quick! Or quicker than most people usually do. Thanks for sharing your story!

[@asterix3191]

love your content man, interesting vid today

[@ChrisOdinson132]

You're like an arrow, Nathan. You were pulled back but propelled forward 💪🏻 For the longest time I played a record in my head saying "Just eat less and move more!" But it didn't work until I went to intense therapy and got help from some good doctors and step by step i was able to make a new life for myself with a lot more activity and I'm able to help my family and friends now. Thank you both, you're awesome!

[@sparstangled]

yes there's the health at every size idea, but this guy was not experiencing health at his size. I really feel for him but I think he's still processing a lot related to his relationship with his body and food. Health at every size helped me feel like I didn't have to "wait to be thin" to do things I wanted to do and my life got more active and when I was ready the weight loss followed. So many different people who can find use in different approaches depending on where they are.

[@yogi8722]

i watched this video mostly because i was curious to hear at HAES/FA from the male POV since we usually never hear that. i enjoy some of his insight, but i don’t think he’s fully out of HAES/FA yet, i still feel that hopeless mentally sometimes when he talks about obesity like it’s out of his control. i hope he continues to gain insight throughout his journey. i’ve been on a journey to a healthier body for about six months now and i’ve lost 30lbs so far, and something that i’ve realized that i never really noticed in myself before was how many excuses i made/make! my boyfriend is my accountability partner and points out when i’m falling into that pattern, and it’s really helped me learn healthier habits and develop a healthier relationship with food and exercise. i need to lose 60 more before i reach my goal, but i’m trying not to impose a hard time limit so that i don’t get that feeling of being a failure, or being a disappointment to anyone whenever i’m having a time. to anyone also on a journey or maintaining after reaching their goals, i’m so proud of you!!!

[@aidenhowe1455]

Im torn on this one. Seems like he needed the magic shot because he didnt want to practice the will power. But whatever works

[@LifeAfterLosing]

He has not taken any responsibility for anything. There was always a villain at every turn. It was never him making the wrong choice or learning the lesson why he made the wrong choice, it was just their fault. He needs to look inwards and get a real therapist that will actually make him put in real work.

[@TheScyy]

@@LifeAfterLosingexactly my thoughts on it.

[@tangie06_33]

The medicine won't "work" forever. It will continue to help with blood sugar/insulin issues but the appetite reduction and removal of food noise tapers off. So it's critical to do the work to learn how to cope with food and the "noise" while the medication is working at its peak. It's also critical to build muscle during this time. He hasn't done any of the work. This medication is a lot like WLS. Those who make the changes keep the weight off. The rest gain it all back.

[@Lau3464l]

He used the tools made available to him. Clearly willpower didn’t work for decades, so why keep beating the dead horse? Obviously if he had the willpower and ability to practice it, he would take that route instead. Whether or not you think everyone should be able to succeed on willpower alone, why fault him for taking action to extend his life? Willpower is pretty poorly understood, as far as neuropsychological research goes. We don’t yet have great ways to predict it or improve it long-term.

[@LifeAfterLosing]

@@Lau3464l I understand that, but like @tangle06_33 said above, he can't rely on it forever. He needs to get the mental aspect in check. I had to do the same thing with weight loss surgery. I can gain weight extremely easily now, but I still watch what I eat and keep track of it so I don't backslide. If also will make an appointment with my therapist or nutritionist if I need a refresh or feel like I am getting bored.

[@Princess.McBetch]

Completely relate to the food noise issue. I have spoken to a dietician about it, we have only had one meeting but i look forward to hopefully getting at least a small handle on it. Minor issue with the rhetoric of "95% of diets don't work", such a worn out statement that means nothing. A diet is what you consume, you *could* say dieters fail but it still wouldn't be close to 95%. The firm assertion that *diets* are the problem, thus there is no solution, is a weak and misguided excuse by those who do not want to put in effort. I have hypothyroidism, i struggle to lose weight, i get that it's hard, but i don't blame anyone or anything but myself for not being happy with where my body currently is

[@sandrastevens411]

Loved the image of the birds singing ,I agree each person must find their ideal weight loss program

[@keleidoscope]

Hmmm. Interesting interview, Glad he's getting better. I think there is something to blame and I don't think it's fat acceptance. I think if you have a kid who has a pre-disposition for diabetes you don't take them to the mall for husky jeans, you feed then a better diet and get active with them. Whether the blame for that is parents, money, education, combination of things, it sounds to me like that's what set him on the path to path 400 pounds, not social media. I'm sure the stuff that came after didn't help either. The therapy story 'refeed myself' is weird, no question.

[@mudkipmillie5216]

With peace and love to this guy I really think he should look into DBT therapy which can help with negative behaviors and reactions to strong emotions ❤

[@kikirodriguez3249]

You do have to be that person before you can become that person.. but the imposter syndrome that comes with that is real A lot of us actually have to heal the trauma in our bodies before we "allow" ourselves to lose the weight

[@martintanz9098]

Great work losing 200 pounds on Mounjaro in 8 months. I am down 77 pounds on Mounjaro for 7 months. And fasting blood glucose down from over 200to in the 90s. I changed my eating, cutting out sugar, simple carbs and most processed food. For diabetes I don’t see another way. I am concerned he is still eating McDonalds and other junk food. Just less of it. Imo, he might do better to use this time to change his eating so when he gets down to a normal weight, he can sustain it long term.

[@terminaldeity]

I think he recognizes that his hunger is the problem. But what he doesn't seem to recognize is that hunger signals are misleading and poor indicators of how much you actually need to eat. Feeling hungry does not mean you need to eat. You should eat based on a schedule and planned meals, not how hungry you feel. If you eat whenever you feel hungry and eat until you're full, you'll always be in a caloric surplus and you'll just keep gaining weight over time. Learn to be ok with being hungry, focus on nutrition over palatibility, and you can lose weight very easily.

[@ejr7155]

Fantastic interview Thank you xo

[@Edward_Strong1982]

I feel alot of what he is saying. I’ve struggled with my weight during my adulthood. I had set points and would stabilize for awhile, but then I’ll start gaining. In my mind I want eating a lot but looking back now after being on my journey for 10 years, I realized I was eating entirely too much and not exercising. (Not to mention I was was depressed back then and I suffer from anxiety disorder). Hearing him talk, he had not come to grips with that he just eats too much. He went back and forth a few times saying he ate barely nothing, to telling stories about completely binging out. The ADHD and anxiety is likely why he eats so much. Anxiety makes you want to eat, it’s an uncontrollable feeling. He is definitely suffering but he has to be real with his self

[@lizharris7917]

Health at every size is such a step away from all I wanted as a younger person...which was social value at every size.

[@kinokodawn]

I mean, diets do work if the goal is to lose weight, many fad diets do that. The problem is a lot of fad diets aren't something people can stick to and end up gaining the weight back once they return to eating how they used to as if losing the weight will just stay off even though they didn't maintain the change.

[@okay5045]

The horrible truth is no matter what diet you choose calories always matter. I found it out the hard way. I lost over 100 lbs on keto and gained a lot of it back. I am starting over but it is so much harder.

[@PrettyBeigeJazz]

He took me out when he said alcoholism is the same as an eating addiction.. I can’t see it

[@toppinzr3743]

Of course eating less works. It's just that this guy eats less while on this drug. His roommates probably kicked him out because he was eating their food.

[@Otteal]

I wish medical professionals actually did their job and understood nutrition. People do not understand that, at least in the US, the food system is designed to keep us sick/addicted/medicated. It sounds like he had a sugar addiction, which is very hard to break, but as someone who's done it, it is possible. They hide sugar in everything and call it all sorts of names so that we keep buying their products. And they remove the fiber, so it's not filling. Dairy is processed completely diff here, to remove the digestive enzymes necessary for our bodies to digest it. Wheat products are totally different here, which is why we have gluten belly. The system is designed so that we KEEP consuming and stay sick. But docs are not trained to say that, they're trained to sell drugs. Until we acknowledge they're failing us, take responsibility for ourselves, eat as clean as we can 80% of the time, and move our bodies, the cycle of consumption (whether it's food or meds) will continue.

[@Otteal]

And since he mentions inflammation alot: dairy, gluten, sugar, alcohol, bad oils are all inflammatory foods.

[@fmleverynameistakenx]

as a medstudent finishing up medschool and someone who has experienced chronic health issues - i hope all these negative comments don't discourage you. i fully empathize with experiencing a new "normal" for your body. i get what it means to be in pain and exhausted, and resorting to unhealthy habits because you don't manage to cook, go shop and clean. and the whole thing about disregulation regarding satiety, cravings, blood glucose and insulin is a real thing happening in your body. for some people this is a major factor in the devolopment of their obesity and a lot of people don't seem to have an understanding about this (for many people, other factors play a bigger role in their obesity). Uterine programming and genetics do have an influence, and someones it can manifest like this if other factors like parental lifestyle, food insecurity and developmental issues like ADHD or mental health issues come together. looking back, the thing i am grateful to myself is for the times that i tried my best. and that meant trying to do some muscle training for 10 minutes once a week. that meant eating bananas a lot, because that was at least some kind of fruit that i was able to chew. it meant going outside to go on a walk, even if it was short because i was in pain. on the outside, that doesn't even look like the bare minimum, but for me, that was fighting. it takes time to change your habits after your body changes, and the important thing is to keep at it and have your eye on the long term goal and doing your best at being in the calorie deficit. wish you all the best! Edit: i also wanted to add that patients with experiences like yours are where incretin analoga like ozempic can do their wonders. for most people, it is not going to be the pillar on their journey to weight loss, because usually psychosocial factors play the main role. but there always has been this subset of patients where this "visceral" struggle with satiety has always been central and led to a constant weight gain throughout their life (i'm not wording this particularly well i think and endocrinology is not my specialty, but you kind of know it when you see it). for those subset of patients, incretin analoga are a gamechanger - they are the factor that initiates long-term change. of course for long term and consistent weight loss you need lifestyle changes, but they can at least make that a possibility. disclaimer, this is obviously not medical advice, i donÄt have a license and youtube is not the space to give that out. just wanted to provide insight from my perspective and give some encouragement.

[@katbatson]

This dude sounds like ALR

[@toppinzr3743]

Food companies deliberately sell hyper-palatable food, that's hard for people to stop eating, and easy to keep eating. The food is high in sugar and fat (ice cream etc.) OR high in carbohydrates and salt (crackers etc.) OR high in fat and salt (bacon etc.), which are combinations that don't occur in nature. So it stimulates people's eating in ways that unprocessed food doesn't. See the research of Tera Fazzino. It's also easy to eat quickly, and has high calorie density. Hyper-palatable food is a big part of the cause of the obesity epidemic. This guy mentions going to McDonalds - of course, what he's getting there is hyper-palatable foo.

[@SaintLuziver]

It’s like ppl forget that you can just eat normal food. Like ingredients. No one is forcing anyone to eat processed foods. 😅

[@gymdilettante8407]

They should do a study not on whether a single diet works but rather how many people who try to lose weight eventually make it.. it's way more than 5%

[@MelAnn15]

He doesn't look happy. Look at his eyes. He has a lot of healing to do.

[@hatchhouseadventures]

“Diets” might not work but lifestyle changes certainly do. I don’t know, I have a ton of compassion for this guy and I’m really happy for friends and family members who struggled with their weight for years and then did gastric surgeries or are using glp1s. But also, you form habits like eating at home, going to therapy, getting daily steps… I’m conflicted because I really do think there’s a ton of factors that play into obesity and I really believe it is more difficult for some people. AND I think everyone can make choices and change their environment to help them live in a way that’s more aligned with their goals. Some people need some additional assistance but long term success is still how you live and calories in.

[@elalogar7340]

It's good that he's truthful about how his weight has restricted his life, but the "I just look at a cookie and gain weight" together with "listening to your body" reminds me of the rhetoric of the participators in the show Secret Eaters, when they, at the start of the show, can't understand why they are gaining weight and refuse to take accountability. It seems like he still isn't able to "understand" his body and why he was gaining weight before taking the meds which of course is not easy, but if the head is not in the right mindset, it's hard to make long-term changes, especially once he gets off the meds.

[@blushandberries624]

When you really want help, you feel like you have to trust your therapist on everything, or else it will not work. It is a very unbalanced power dynamic, and if you have lifelong problems you are very vulnerable to manipulation. I see a lot of negative comments here from people who are so lucky not to be mistreated by mental health professionals. I have not experienced what he has for EDs but I have similar experiences of being treated by a therapist who did not believe in c-ptsd and the way I was convinced my trauma was not real created so many worse issues than I had going in to therapy.

[@loissage3630]

I would like to wish Nathan well, Congratulations! ❤ Go Seahawks! I am okay with any healthy way to be a more active participant in life.

[@carafrey3534]

So happy for him

[@Kattlarv]

FA only really has outcomes like this. So, it's nice to see people able to slowly start to escape. I came up with a new analogy to the whole "fueling/nourishing my body". Take a normal fireplace. You know the one: Square, usually bricks, all that. Now, the FA's fireplace is stacked like a darn jenga tower. *Completely filled*. From top to bottom with no spare room. And there's several dozen logs just strung across the floor around it. There's also ash everywhere. Like, they haven't cleaned it in a decade. And you ask them: What the heck? And they just go "I'm just FUELING my fireplace!". And you ask when the last time they even used it was. And they just go "Oh, I dunno... maybe ten years ago? I have AC, so I don't need it.".

[@iwritesongs5987]

"I look at a cookie and gain 10 lbs." That's because you ate a box of them later.

[@FronteirWolf]

Maybe an anorexia treatment programme aimed at people who are underweight and need to gain weight for their health isn't the best place for an obese patient who would benefit from losing weight. He didn't even have atypical anorexia, he clearly had BED. To be anorexic, your disordered thinking has to result in restriction that is consistent enough to result in weight loss.

[@wunclerlaufenbumcorneliusu7047]

“Here in Seattle” “Problematic” Yeah, this dude isn’t going to change unless something really bad happens.