A valid question given its prevalence and new findings about obesity.Curious as to where the obese fit into this level of coercion?
The hypothalamus regulates energy levels. The gland only accepts your fattest weight as normal. Everyone trying to lose weight faces a lifetime of resistance from this gland. It will always ramp up appetite and reduce energy use levels to return to the fattest point you have ever been.
Until we learn to reset its method of signalling we need to get medical science and medical insurance to quit thinking of fat removal as cosmetic surgery.
The hypothalamus doesn't weigh you. It determines the level of storage in each fat cell. Removal of fat doesn't make the hypothalamus want to increase the level of cell fat storage. It just shoots for homeostasis signals in the existing fat cells we already have.
Removal of visceral fat from under the stomach muscle might be the most effective choice to reducing the obesity related cardiac problems. But insurance would fight tooth and nail to accept that as a medical necessity. Doctors won't be very accepting either because of surgical risk. But they fool themselves thinking diet solves the problem, while they conveniently ignore what the hypothalamus is doing to resist the diet efforts.
The fact is that the only easy obesity cure is never gaining excess weight in the first place. Though the body never forgets the infant and prepuberty pudginess either.
The real cure will be learning to retrain the hypothalamus but research has proven much harder than expected. So the medical and insurance community dithers with useless diets when we have established surgical options already in the wheelhouse.
Any coercion has to offer the surgical option in order to be realistic.