I know a woman who is getting fatter on ozempic. Meanwhile people who eliminate sugar, shun carbs, avoid drive through and go for walks daily lose weight.

People talk about how people back in the day we were all healthier or at least not fat. The lifestyle and diet of that time is why. People talk about how their ancestors ate lots of fat and cornbread but didn't complain of heart disease. They worked harder and dinner was had in the middle of the day because dinner is the largest meal of the day.

The differences are lifestyle and culture. Active people who eat real food don't become obese.