Below is what I believe is a very insightful comment from Kurt Harris (http://perfecthealthdiet.com/?p=4802#comment-32901).
Will nutrition or nutrition advice ever be capable of “saving the world” from obesity? (And do you see the same elephant in the room or not?)
“Seeing as there is no equivalent easily conductable test for FR”
But actually that is the easiest thing of all to test.
1) What do you eat that you can’t stop eating?
2) On your new diet plan (whatever it is), what food do you really look forward to eating when you first wake up in the morning (Credit my wife Victoria Berry DDS for that one) Eliminate it.
These tricks actually work really well to re-start fat loss.
They also make people really, really angry when you propose them. I actually have had people respond by saying they would rather be dead than live life this way. They would rather be fat or have diabetes. Literally. We can’t get people with metastatic cancer to stay on ketogenic diets, so this should be no surprise.
The elephant in the room for fat loss is that for many if not most people they will never achieve healthy fat levels until they stop using food for stimulation and entertainment beyond their nutritional needs.
“I have to admit to not looking forward to the brave new world of unbuttered potatoes and unadorned eggs.”
You are not alone. I think this would be required in principle (not everyone needs to go this far) to actually reverse the obesity epidemic. Most people can get away with buttered eggs and potatoes if they just can the caloric drinks and limit restaurant fare. But the resistance to even these steps is monumental.
For that reason, I predict there will be no progress made at large. There will be victorious skirmishes for a subset of the population that read PHD or maybe my blog and others, but we will not save the world from obesity any more than we will eliminate late industrial corporate capitalism or stop using petroleum.
I did not always see it this way, but 4 years of seeing how people fail eating even the highest quality foods has me fairly convinced this may be true. I do not think obesity can be cured with food quality and macro ratios anymore, even if NAD removal may be of benefit for cancer or inflammation independently of obesity.
Unless you have favorable D2 alleles, EFFORT may be required. But people are too busy playing fantasy football and watching Idol.