One of the big problems that hinders people from eating less is unstable blood sugar levels, brought about from eating too much sugar on a regular basis, not enough good quality fats and protein. When your blood sugar level is rollercoasting all day, it becomes almost impossible to make sensible food choices (however hard you try).
I'm a nutritional therapist here in the UK and I find that people on long term prescription medicines (especially antidepressants) have enormous difficulty losing weight. I think it might be something to do with extra strain on the liver.
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