> But in my experience, decreased cravings make it easier to choose food rationally. The food noise that causes people to overeat usually doesn’t cause them to overeat healthy foods anyway.

"Food noise" is much more than just craving calories, we have cravings for most of the different nutrients we need. That is how people ate a balanced diet in history even though it was much harder to do back then, peasants craved meat and vegetables even though it was easier to just eat potatoes for calories.

My doctor explicitly does target my dosing to “make sure I don’t lose my appetite entirely, but just reduce the food noise”

I think there’s a distinct difference between what people are describing as “food noise” and a normal appetite.

Anecdotal, but I think we need to consider that modern marketing and supply chains have a huge impact here. Without any cravings control, my mind was perfectly happy craving burgers, fries, and pizza 24/7 for thirty years. It hated every bite of veggies.