Glucagon-like peptide-1 agonism - GLP-1, common in obesity medicines - is not essential to weight management, according to preclinical research led by Richard DiMarchi and Matthias Tschöp, with funding from their startup company Bluewater Biosciences.
walking and biking for evertday errands make a big impact too.
I actually made a comment addressing the car-centric layouts (and how it is basically impossible to walk anywhere in many parts of America) elsewhere in the thread here.
To expand on that commuting via public transit often requires you to walk between house and transit, between stops, and to your destination. I log 1 mile each way each day or around 10 miles a week.
That can be a serious challenge for large parts of the USA. Growing up, the nearest grocery store to my father’s house was nearly three miles, up a narrow and busy highway. Biking was possible, but definitely a little harrowing. Walking was prohibitively time-consuming. And that’s in a relatively dense New England town. I’ve lived places out west where it was over an hour to drive to the store.
To me New England has no excuse. Where I live, measured directly, my fav grocer is .6miles from my house. Tell me why I have to take the higgway, jist for one exit, to get there. Walmart and Aldi are basically across the street, and yet, it is not walkable. the road you must cross is 5 lanes and 45mph which is exceeded as if the road is a highway.
If Mcdonalds can tear down, AND rebuild their stupid store in 6mos for no other reason to make it a grey box, I think our local civic engineers can do better.
Maybe out west will be hard, but New England literally has no excuse. The attempts at bike lanes ive seen in CT are fucking laughable. Its like they are trying to make it so people dont use them.
All the people with money have cars because its so impossible there to live without them. They also see themselves as paying all the taxes. Their cars are sunk costs of tens of thousands of dollars. They see improving infrastructure as taking their money to help other lazier shittier people. The only way it looks attractive is if it can be taking federal dollars to line the pockets of a minority of rich people and “create jobs” by which they mean pay 1 dollar to the company so a penny can filter into the hands of the peons accidentally.