AIBU Endocrinologists are the real solution to weight loss?

[noyodo]

Gastric sleeves and even Gastric By pass result in gaining back the weight within 5 years.

AIBU to think the only real solution is to see an endocrinologist to see what is causing/driving weight gain?

Many of my friends of the same/similar age are overweight/obese but do very little exercise and eat too many cakes/biscuits/fatty foods or drink far too much alcohol.

Same and they've been like that most of their adult lives, except now they're putting it down to 'inevitable weight gain' due to menopause 🤷‍♂️

Some women put on weight due to menopause, some don't.

I put on 3 and a half stone during perimenopause. I was going to the gym 5 times a week doing exactly the same intensity of exercise as before, I was eating healthily as I did before. In my case it was oestrogen depletion thst caused my weight gain. My metabolism changed. I can only eat 1200 calories a day to .
maintain my weight these days.

A menopause specialist explained that my body was desperate for oestrogen so creates fat which contains it.

As someone who blamed my weight on my underactive thyroid for years, it turns out that it was just simple over eating.

Once I got to grips with needing far few calories I lost over 3 stone. I’m thinner post menopause than I was as a slim 20 year old.

A few cubes of cheese when hungry may seem silly but it’s useable fats that satiate you. Instead we’re fed low fat shite rammed with carbs we can’t burn and we crave more.

I agree with this, I now snack on cheese, nuts or I fry an egg. I avoid the rubbish carbs and the even nastier diet fizzy drinks.

I have autoimmune underactive thyroid. I didn't gain a lot of extra weight, when I started treatment I was probably just under a stone over what I had consistently been throughout my 20's and 30's. You wouldn't have looked at me and thought I was overweight. It took two years to get prescribed the appropriate dose of levothyroxine and get my TSH to the right levels and then I quickly lost that extra weight within about 3 months. So yes, my thyroid dysfunction did play a part in gaining weight but in my experience it was only a small amount. That may be totally different for others though. I also agree with a PP who said that if you have an underactive thyroid you would have other symptoms, not isolated weight gain.

Food is driving the weight gain. It is the rare case where an endocrine disorder truly drives it. Spare the endocrinologists.

They need to sort out the issues that cause them to eat too many calories and stop them from exercising.

Of course there can be vicious circles - insulin resistance /poor blood sugar control 'crashes' can make someone feel they need to eat -> weight gain, worse insulin resistance, harder to exercise.....that sort of thing.