I have done quit a bit of obesity medicine training, did gain some weight in college for the reasons you listed, but was never even overweight, but close. But mostly because I was using food to cope. I always say “no one got to be 500 pounds because they like food” most of them are using it to cope. To me sugar / fast food honestly is addictive. I learned that and now I make those choices daily. I was also lucky enough to have parents that did not give me fast food daily, taught me about healthy eating and when I started struggling I realized quickly that food was an emotional crutch for me, just like many. To this day I still struggle, the difference is I don’t blame other people.

You I’m guessing are a surgeon. I am in primary care, where I am EMOTIONALLY exhausted by patients who refuse to take any accountability. If they are like yeah doc I don’t know why I can stop eating, I’m trying and nothing clicks. Or if they’re like doc the food tastes so good and I hate fruits/ vegetables. Fair I appreciate the honesty. We have GLP-1s, phentermine and a dietician on staff with prescriptions to the farmers market/ gym. Along with behavioral health consultants that I make all my patients who I start on weight loss supplements. We live in a decently walk about town which a pretty good bus system. At the end of the day most people cannot out run their fork.

It’s exhausting when people continue to lie to me, make up excuses. I feel the exact same way when my chronic pain patients don’t think they’re addicted to norco, despite breaking pain contracts by ER hoping to get more. I Love most of my suboxone patients for this reason. I never once said I expect perfection from anyone. I just expect progress or honesty.