> 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.

The illness being addiction/food abuse?

Again we circle back to the question that OP posed. Because I have never seen someone say that they are an alchololic or smoke/tobacco addict and then get told: okay maybe, but first you should put in the work and find out if you really are that.

(Step one: admit that you are an addict. Step two, uh, confirm that you really are?)