Thats not true. You won't have a six pack and you won't be super healthy but burning 1000 calories on a bike ride will 100% have an impact on your weight over time. The issue is when people do 20 minutes of exercise and then eat an extra 500 calories after burning 200.
Ok, in the real world.....
People in calorie surplus to the extent that they are obese and increasing weight steadily are not doing 1000 calorie bike rides on a daily basis. Of course there are always outliers.
The prescription costs me more than i would like it to, i'm fortunate and can buy it privately, I figured it was for my own health and my god do I feel a lot better for it apart from the fatigue which means i go to bed earlier, that could be age and just being busy at work. I was diagnosed with early osteoarthritis in my left knee, weight loss has help lower the pain to almost nothing. Far better than chewing down ibuprofen that nearly killed my mate last year from many years of use.
My training has elevated to a new level and i'm more engaged with it.
There's a lot of psychological stuff going on in peoples heads and its grossly unfair to label obese people as simply lazy.
I piled the extra pounds on stress eating during a pretty horrendous period in 2021 that i have discussed previously, it just continued from there, downward cycle unfortunately, i was always someone that cleared my plate and the wife's, I hated to see waste and was drilled into me from childhood "CLEAR YOUR PLATE".
Everyones situation is different and if this helps lower the burden on the NHS I think its a worthwhile drug.
I'm an open book, ask me anything lol