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Calorie counting is how you lose weight, no matter your issue it always comes down to energy consumption. The biggest issue is the amount of willpower you can spend on thinking about increases on volume centric foods that you cannot over eat no matter how hard you try. Sugary foods, oily foods tend to be massively high in calories and low in satiety, some people view foods in an emotional means that they will continue consumption and over extension of energy means etc. Some people simply got the wrong cards and they over produce ghrelin (or leptin doesnt work as well as an "average person") this is an over simplification on those receptors. The usage of GLP-1 Agonists will simplify this method and slow digestion down and increase the reception of fullness resulting in weight loss being in a calorie deficit.
My source is im physically the strongest/superior one in /wvt/ and i actively work with others who have these issues