Yet I still caught an edge of defensiveness to some of the responses. And we should remember there are conditions that no amount of life style changes will address. Type1 diabetes being one of them if you aint producing insulin no amount of dietary measures or exercise is going to change that. For those the pills and/or surgery may be the only answer also there are those who have tried life style changes and it just has not worked. That cartoon was so simplistic as to be risible and an insult to the intelligence of the patients.