I was pre-diabetic at 100kg and went down to 70kg over a year of low carb diet and intermittent fasting
It’s a daily struggle trying to NOT eat until literally feeling pain in the belly, and even then, I know if I wait 30 minutes more I can keep eating
Yes, but this is sort of the point. If we can make it not a daily struggle, probably a lot more people would be successful.
Generally, I think the solution of "just suffer" is a bad one. If people's solution requires a certain amount of pain, it's probably just a suboptimal solution, and we can do better.