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The reason they're too hungry is because of disruptions in signaling hormones like Ghrelin and Leptin that are not properly responding due to the consumption of unnatural ultra-processed foods. This induces a destructive feedback loop that leads to REDUCED satiety and consequently INCREASED hunger. For example, if you drink Kool-Aid with 2 cups of sugar in it, the concentration of which is a) a sugar density impossible to find in nature besides maybe honey, b) lacking other insulin-regulating and satiety-inducing nutrients — most notably fiber but also say xylitol — then you will send insulin surging which so happens to have an impact on ghrelin and leptin signaling molecules to the brain. It is extremely difficult to make this happen if you eat whole foods. I eat LOADS of healthy food all the time — as much as I want! Yet my BMI remains perfectly low. This is not the issue.
Edit: I should add in reference to my previous comment that the other factor is the feedback loop of environmental stressors, elevating cortisol and leading to an increased fixation on fast dopamine hits, which of course, if there is a potato chip bag or fries in the area, will look more appealing. In some respects, it's little different than substance abuse of heroin albeit to a lesser degree.
It's not "unhealthily large portions of healthy foods," — it's unhealthily dense portions of unhealthy foods, primarily.
Yes, they quite often do. By the very nature of consuming unhealthy foods in high quantities leading to obesity, they are as a matter of zero-sum NOT consuming healthy nutrients, such as fiber. You don't seem to understand the impact fiber specifically has on weight regulation, or the insulin cycle and the impacts on hormonal signaling molecules Ghrelin and Leptin. Educate yourself in these arenas and you'll have a better understanding of the obesity epidemic. I promise you it's not because people are eating "too much healthy food" lol.
Don't just take it from me:
https://hmri.org.au/news-and-stories/ozempic-helps-weight-loss-making-you-feel-full-certain-foods-can-do-same-thing/