It's one of those initially unintuitive things that makes perfect sense when you consider that "burning calories" is... pretty literally burning calories. Of course CO2 is how most of the mass goes away.
Similar to the "trees are mostly made from air" thing.
There are several multiple that cause sudden weight loss or weight gain with no change in lifestyle and eating. And then there are sicknesses that affect hunger regulation and surrounding hormones (including anorexia actually).
For those that want to stick with thermodynamics, imagine an organism that stores 1% of consumed calories as fat, and uses the other 99%, and that cannot - for whichever reason - turn fat back into calories.
Completely in accordance with thermodynamics, and yet, "just eat less" doesn't work.
My point is, unless you have found a way to break thermodynamics, the only way to reduce your weight is by taking in less than what you excrete out, regardless of deficiencies and conditions.
Sure. But we know that some conditions, both physical and psychological, can make that process much harder. (Medications, too! And billion dollar companies who employ experts in breaking your will.)
"Just abstain" approaches have failed repeatedly and conclusively in public health. Hell, it's hard enough to get people to wash their hands after pooping and get vaccinated.
Personal experience: the first time i took buproprion/naltrexone it became clear to me why people that arent and have never been overweight think "just eat less move more" is the only advice you need.
Except it's not typically very effectively actionable advice.
It's more in the realm of "just be happy" to a depressed person. Sure, that'd help a lot. It's the how that's tough. So we move the levers that aren't rusted solid first.
In fairness, there are plenty of conditions and imbalances that can cause weight gain besides "eating in excess"
>don't encroach on my economy airline seat
The things are so damn small that's going to happen regardless. They're not designed for big people (even healthy weighted ones)