Many people must change their diet because of health reasons.

I wonder if my father would be alive today if a doctor called him on his diet instead of prescribing 17 prescription drugs. He developed an ulcer and bled out, in the ICU.

My FIL brother had a good outcome as a type1 diabetic BECAUSE his mom was neurotic about his care. Fanatic about his food and his insulin. He grew up , had a family and lived into his 50's. A good outcome ad she followed the standard care. Oday we know better outcomes are achieved by addressing the carb intake. Again, not SAD fare.

SAD is pushed at us from right, left, top and bottom!! Every direction. That makes a change in diet hard. Learning a new way takes dedication. One that I find is sabotaged at every turn by people around me.

So ,yes, adherence is HARD when people actively poopoo your effects to become better: not eat SAD, but real whole food.