"for use in addition to a reduced calorie diet and increased physical activity"

So really it's not doing much other than reducing how hungry someone feels.

Want to lose weight? It's easy. Go keto. For people that are fat, like myself, cutting carbs will, by nature, cut calories and a higher fat/protein diet will make you feel more full and eat less calories.

The problem is a lot of people like myself want to lose weight while still eating fast food and sitting down all day. No pill/injection will change that.

or get a meal plan that pre-portions your meals. My partner and I struggled to do keto, we lasted like 3 months. The results were impressive, but not sustainable for us.

We've started a pre-packaged meal plan. Meals are normally good (only had a couple we didn't like) but we are down a combined 75+ pounds and still doing the pre-packaged meals since we get a decent selection. Now, we do get a TON of chicken, and that is a struggle, but it's a trade off.

As to your last point, agree. There's no magic pill that will let you lose weight without fundamental changes

Yeah longer term I don't think Keto is sustainable without eating a LOT of fat. I don't get people that are twigs going on it. But if you need to burn fat away theres almost no better way.

Oh interesting. Being pedantic here but I'm guessing there's a strong distinction between "weight regulation" and "weight loss" in the regulatory context though?