But while monomaniacal exercise and diet work for some people, they don’t for most: A staggering 95 percent to 98 percent of attempts to lose weight by the general public fail for reasons that “are biological and irreversible,” wrote Michael Hobbes in HuffPost last year. Relying on these two solutions as “the primary treatment for those in larger bodies, particularly those who also have disabilities, ignores the lived experience of the individual and is not evidence-based medicine,” said Louise D. Metz, a physician connected to the Association for Size Diversity and Health.