Sorry, didn’t mean any offense.

having things that work in the short and medium term to pave the way make it a lot easier to reach the long term solutions.

Ketogenic eating works today, right now, for individuals

let’s say such a programme were to work for my wife - how long would that take? Would it be fast enough to beat menopause? She’s 38 now and this solution improved her quality of life dramatically and is helping us not repeat the mistakes of her parents with our own child.

Depends how strict they can be, 1 to 2 kg per month is normal, women tend to hit a plateau earlier on ketogenic eating, where their body goes through a period of recomposition where the weight doesn’t reduce, but the fat is still being burned. So it’s important to evaluate these interventions not just by overall weight, but waistline, or body composition scanners if you have access to one

We’re not looking for a quick fix, but a leg up. If we can improve people’s perceptions of themselves it’s a lot easier to get buy in for further lifestyle improvements. If one is already dramatically overweight it’s much easier to be defeatist!

Completely agree. The important thing is to provide people an optimistic path. I’m a big fan of programs like virta because they provide lots of different modalities to meet people where they get the most motivation and feedback to stay on track.

I have looked at a few studies, and ketogenic diets outperform the GLP-1 drugs in total weight loss, and in muscle retention in every study I’ve looked at.