[EDIT] It's not that your approach can't work, it's that if (for example) people had as hard a time following the directions for condoms as they do following diet & workout plans, we'd never allow condoms to be sold as contraceptives, they'd not even be close to being OK to promote as useful for that purpose. It wouldn't matter if a few people could follow the directions and it worked 100% of the time for them.

Anyway, it does work, people just aren't told to do it firmly. Doctors dance around it.

I have been using pullout method for 25 years, very consistently with basically 50 women at this point, and not one pregnancy scare (other than one girl trying to pass off her pregnancy as mine once). Same for many of my friends.

does nothing about stds though.

https://www.plannedparenthood.org/learn/birth-control/withdr...

For every 100 people who use pull out method perfectly, within a year, 4 will get pregnant. Since not everyone does a great job doing it, in reality 22 get pregnant every year.

Here's a great overview page: https://www.plannedparenthood.org/learn/birth-control in summary, condoms are 87% effective at preventing pregnancy, and withdrawal is 78% effective.

For a going-steady couple that isn't worried about STDs, keeps an emergency contraceptive ('morning after pill') ready for oopsie mistakes, and live in a country that grants women bodily autonomy (or have discussed and accepted that a mistake might lead to a child), pullout is a perfectly valid contraceptive mechanism. There are better, but considering that basically every method except a condom/internal condom can cause extreme discomfort or bad side effects to the woman in the relationship, I think it's totally fine to choose pull-out.

And they had 86% adherence for a year. If they'd studied this farther out and it went the same way as basically any study that's done that, adherence would be a lot worse in another couple years. And that's in a group that's exceptionally motivated vs. the general population—has an actual illness they're trying to treat, and has opted in to the study knowing what it's asking of them and for how long.

I am on a GLP-1 level calorie restricted diet right now without a GLP-1 and of course it is just miserable.

I love eating a giant sandwich at night that is more calories than what I am eating all day now but it isn't the taste it is the brain chemical release.

It is an addiction like any other addiction. I have never felt that same craving for chicken breast.

They're morons for the most part.

In their 8 minute session with you, they are worse than chatgpt basically.

If anything it’s somewhat of a lemon market that’s worse than average because it’s not a great career generally to leverage skill into wealth (relatively compared to other options), but it lets risk averse people on rails get a decent outcome.

To spell it out for you: there is value to having some notion of persistent identity even on pseudonymous forums. Anyone can use a throwaway and say anything - and valiantly admitting you're using a throwaway doesn't change this fact.

Use throwaway identity, pay the price.

I'm glad your dad is healthy and yes, carbs cause issues.

Maybe if the anti-carb society offered some payola, the story would be different.

At most a drug rep comes by and brings donuts or something to talk about their new drugs.

Source wife is a doctor.

It’s certainly not enough of an effect that doctors make decisions on what to prescribe based on their malpractice insurance premiums.

There are no healthy habit recommendations anymore in many practices due to anti shame culture etc.

This is different to other parts of the world with healthier citizens.

Doctors are humans though and if people repeatedly ask for a specific treatment some percentage of them will offer it. That’s how drug advertising impacts prescriptions. Nothing to do with liability.

https://www.mdlinx.com/article/a-physician-s-guide-to-accept...

Increased reporting requirements and a cap on the value of these gifts that is far too low for box seats.

My wife's a physician, and I've seen these things change dramatically. Sometimes some food for the whole office will get dropped off. Or donuts. No one's getting box seats to a pro sports game anymore.

Perks for prescriptions is illegal.

If your GF is really keeping score and rewarding doctors for performance, she’s breaking anti kickback laws. All that has to happen is for prosecutor to make the connection.

I know a guy who spent 3 years in prison for something very very close to what you just described. He was just a rep and he said he was just doing what his company told him to do, but they threw him under the bus and now he’s a felon.

https://openpaymentsdata.cms.gov/

If you don’t want a doctor who takes money to run clinical trials, use this database to avoid them. It’s not hard.