This is quite snarky. I was giving kudos because the commentator first exhausted all the lifestyle options that extremely often work in reducing obesity to ensure their issue is more than just lifestyle choice then finally taking the drug, rather than short circuiting the process. This is sensible policy in deciding to take any drug for the rest of your life for a chronic illness.

In other words I was giving kudos that the commentator put in a lot of effort to verify that it was an illness in their case.

I don't think that's particularly charitable, GGP said themselves that their issue is volume, that they're doing well in many other ways. GP is saying if everyone could do what they've done, many fewer would have the problem, and so maybe it would have less stigma.