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CGMthrowawayyesterday at 3:06 PM8 repliesview on HN

>I was wondering how you could get such a high impact overall. But it seems one in 6 households are on GLP-1 drugs in the US.

I had the same question and did some back of the envelope math. The data I have seen says the average American eats 400-700 excess daily calories, and 3600 daily calories total. That means 10-20% excess per person. If everyone started eating the right amount overnight, grocery spend would drop 10-20%.

But since it's 16% on these drugs, and figure since they are Losing Weight (not maintaining), safe to say those 16% of Americans are eating 20-30% less... 20-30% times 16% = 3-5% decrease in spend.

So it tracks, roughly. And we are not at the bottom yet.


Replies

jjk166yesterday at 4:19 PM

> The data I have seen says the average American eats 400-700 excess daily calories, and 3600 daily calories total. That means 10-20% excess per person. If everyone started eating the right amount overnight, grocery spend would drop 10-20%.

You're falsely assuming a 1:1 ratio between calories and cost. Unfortunately the big problem with ultra processed food is that calorie rich but nutrient deficient food is way cheaper than the less processed foods. Cutting out the cheapest items is going to reduce spending less.

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_alternator_yesterday at 3:26 PM

The decrease in spend was at the household level, not aggregate, so it’s a 5% decrease across 16% of households, or a bit less than 1% overall.

The overall weight loss seems to be because the spending decreases most heavily in calorie dense foods like savory snacks; yogurt and fresh fruit spending goes up a bit.

malfistyesterday at 5:44 PM

> the average American eats 400-700 excess daily calories

This can't possibly be true. A caloric surplus of 500cal/day adds a pound of weight per week. That'd mean in a decade of life the _average_ American would add an additional 260 pounds. In 4 decades Americans would add half a ton to their waistline, on average.

That'd mean at then end of their life the average American would die weighing over 2 tons

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derektankyesterday at 4:42 PM

> But since it's 16% on these drugs, and figure since they are Losing Weight (not maintaining)

I would not assume this. Most people remain on GLP-1 agonists after they reach their goal weight, as without it cravings return and weight starts coming back on. I would guess a substantial fraction of people on the drugs are on a maintenance dose

tsimionescuyesterday at 5:14 PM

These calorie numbers don't make much sense to me. The typical recommendation for how much a man should eat is 2000-2800 Cal/day, and for the average woman that is 1600-2200 Cal/day, depending on age and exercise levels [0]. So if it were true that the average American ate 3600 Cal/day, they would be eating 800-2000 excess Cal, not 400-700.

Even if we assumed that average food cost/Cal is a meaningful concept, the reduction would be much higher.

[0] https://www.ummhealth.org/health-library/eating-the-right-nu...

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stewartsyesterday at 3:41 PM

I'm not sure how this math checks out.

1lb of fat is roughly 3500 calories. Given 500 calories a day of excess, that would lead to 1lb of fat gain per week. 52 pound average gain per year?

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criddellyesterday at 5:09 PM

> If everyone started eating the right amount overnight, grocery spend would drop 10-20%

Probably not. Americans (households, grocery stores, and restaurants) throw away an insane amount of food.

vascoyesterday at 4:12 PM

> That means 10-20% excess per person. If everyone started eating the right amount overnight, grocery spend would drop 10-20%

I doubt that $ spend on the top end of caloric intake scales linearly with # of calories because of high caloric density foods.

If I spend $500 a month on groceries, lets say I need $400 to keep me alive and hygienic and the last $100 are going to be the candy and sodas that make me fat. So to give an example, reducing the caloric intake by 50% could be achieved by reducing spend by only 5% if there's very caloric foods making me fat.

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