Working as a HCP I find it difficult to get people to change their lifestyles. Firstly it takes a lot of clinic time to explain what the changes they have to make are. The practitioners often offer confused and contradictory advice. GP says eat healthy grains and walk; someone else low fat high protein; others say keto. Generally, people really dont want to put in much, if any, effort. I don't know how many overweight people I've seen who tell me they only eat healthy food ad can't understand what changes to their diet they could make, or they would like to exercise but their knees and feet hurt when they walk. Not everyone but lots of people look for excuses to not change.
I would agree with you, from an observational experience.
Having worked for eons as a Change Manager, health is no different to anything else. Few people embrace change (unless it's their own idea!), and I do think that lifestyle is particularly challenging, as much of it is so "public". Going for a coffee - why no cake? Shopping? Why are you obsessed by labels, and so on. And of course, those living in family units where the feeder doesn't "get it", or believes that a meal isn't a meal without potatoes, or bread, or dessert.
I think we, on here, are so incredibly lucky to have so many supporters who will help us along the way, and demonstrate, every day, that the changes required can really make a huge difference.
Personally, I recall a conversation, in the very early days, between me and my OH, which went along the lines of "Well, it seems to come down to who you're going to trust, the Doc who tells you to carry on eating the diet we've been doing for years, or strangers on t'internet, who advocate making quite radical changes away from the norm".
Without that support 24/7 on the forum, many of us would have drifted back to where we started. I know that was a possibility for me.
I have so much to be thankful for this forum.
Edited for typos