Easy to say, eat less move more,
But tell me what has the success rate been for people with BMI 40+.
I'd bet it's less then 1%, anyone and everyone who is obese has insulin resistance, and with that brings all the food noise and cravings they have to deal with ever single day. Ask me I know been there.
What the GLP-1s do other than just appitie suppression is correct the Insulin resistance, and gives them a fighting chance.
From experience I have tried it all, and yes it works, but everyone always ends up defualting again.
Now down 25kgs, with more energy than I have had in 10years, I find I'm in the gym 3 times a week for 1h30 doing strength training "putting in the hard work"
But I doubt I'd be here it is wasn't the leg up the GPL-1s gave.
Saying it only because it for those who don't put in the hard work, is like saying to depressed people just be happy, it's a little short sitted and shows lack of understanding.