The "weight loss industry" in the United States reached an annual size of over $93Billion in 2024. The market for prescription weight loss drugs alone has more than doubled from $5Billion in 2022 to $12Billion in 2023. And yet 1 in 5 Americans are still obese (not overweight, obese) in all 50 states and 35% or more are obese in 23 states. With this much money being spent every year, why are people not losing weight and keeping it off? Could is be that the majority of the weight loss industry, including the whole class of unnecessary GLP-1 weight loss drugs, is peddling snake oil instead of success?
As has been true for all time, over the long haul there is only one diet that works: consume fewer calories and/or burn off more. Lifestyle changes such as exercising more and eating mindfully are a key component of successfully losing weight and avoiding the yo-yo cycle of losing weight and regaining it back over and over again (as 75% of dieters do).
Does this mean that there are no weight loss programs that can help you successfully lose weight and keep it off? Of course not. But the fact is that you can certainly accomplish it on your own (I did). But if you need guidance, help getting started or someone to be accountable to then a weight loss program may be for you. But you have to be careful to avoid all the fluff and nonsense that makes up the majority of such programs.
The National Council Against Health Fraud has published a list of 10 guidelines that you should consider in evaluating any weight loss program. Any of these should give you reason to avoid the program.
1. It promises dramatic, rapid weight loss of more than 1% of total body weight per week. That is 2 or 3 pounds for a person who weighs 250#. More rapid weight loss is not sustainable long term and may even be unhealthy.
2. It requires extreme calorie restriction (under 800 - 1,000 calories per day). The only time this should ever be done is under qualified medical supervision.
3. It requires purchasing special foods or products only available from a single source (aka, them).
4. It ignores the importance of exercise and behavioral/lifestyle changes. Without these you will most likely just regain any weight that you lose.
5. It requires you to invest a significant amount of money up front for a membership or subscription and does not offer a refund if you are dissatisfied or do not see results.
6. Claims are made of secret, special or proprietary ingredients not available anywhere else, especially if the "ingredients" are not revealed.
7. Promises that you will "lose belly fat", or fat from any other specific area of your body. You cannot target weight loss that way.
8. Fails to address long term success and provide a transition to maintaining your weight once you reach your goal. (GLP-1 drugs for example offer no such transition, you just have to keep taking them and will regain the weight you lost if you stop doing so. This has spawned an entire mini-industry to help wean people off the drugs by basically doing the things that would have made the drugs unnecessary in the first place!)
9. Restricts you to consuming a limited number of foods or macroeconomic classes. (A balanced diet is what works.)
10. Claims that it will be easy or that no changes to your diet or lifestyle will be needed (just their product).
As anyone who has successfully lost a significant amount of weight and kept it off will tell you, these are common sense considerations. Use them to assess any weight loss products or programs that you are considering and walk away from any that check any of these boxes.