Help please LCHF

Is there a medical reason you need to follow a low carb diet?

Yes you need to count calories, it's the deficit that means you lose weight, not the make up of the macros.

You need to limit your calorie intake if your goal is to lose weight. The premise of some of these LCHF diets is that you don't have to limit intake consciously, you will be so full and satisfied that you will automatically eat the right amount of food, and lose weight effortlessly, until you hit a good weight for you.

I have experimented on myself, and read a lot, and I too believed for a long time that carbs make me hungry, but now I think it's more complex than that: A "modern" carb heavy diet is a nutritionally inferior one. It's not the carbs, but the lack of nutrition, and the lack of balance, that makes us hungry and unsatisfied. I had tried so long to eat low fat, so I needed more fat, and it was good for me to up my fat intake drastically for some time, but another unbalanced diet is no good for the long haul. So after I hit maintenance, I reintroduced more carbs, but in the form of a wide variety of grains and starchy vegetables; "junk food" only occasionally. My current macro split is very close to the recommended/default one.

All the disagreement on what diet is "best", is based on that we aren't talking about the same thing. There are lots of different ways to achieve good nutrition. But we don't eat nutrition, we eat food. Eat food you like.