Physicians writing on KevinMD about obesity: whether it is a disease, what the GLP-1 drugs from Ozempic to oral Wegovy have changed, what happens when patients stop them, who should take them and who pays, teenagers, compounded versions, bariatric surgery, and the stigma patients describe in the exam room. One maintained record draws on this archive: GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words.
For many celebrities, their livelihoods depend on their physical appearance and they rely on armies of personal assistants, schedulers, stylists, trainers and chefs to plan, manage and measure their diet and exercise regimens.
Obviously, most of us don’t have the time or resources to diet and exercise like celebrities do, but new technologies are closing the gap. As an introduction to some of these new platforms and methods, we describe and …
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New classes of devices to diet and exercise
I’ve written many times that losing weight is the second hardest thing I ask my patients to do. (Breaking an addiction like smoking or alcoholism is the hardest.) The frustrating thing is how little we know about how to lose weight successfully. But we are learning more all the time about why losing weight is so difficult.
Much about dieting and weight loss is poorly understood, but let’s first lay out …
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Overweight people have a weight thermostat that is turned up too high
The chart below shows the unheralded rise in pediatric obesity (not overweight, just obesity) over the last 40 years. Outrageous, and downright scary. Kids today are flocking to multi-billion dollar pediatric centers for adult-onset diabetes, heart disease, joint replacement and bariatric surgery. This too little (but definitely not too cheap), too late approach is literally killing us. The generations behind us are not only impacting the expense of healthcare, but …
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Keep your kids off the obesity chart
On the first day of the 1st Caribbean Obesity Forum, I presented various talks on obesity – its economic implications, its assessment and the need for firmly anchoring obesity treatment in primary care.
Interestingly, several family doctors in the audience raised the interesting issue that here on Barbados (as probably on other islands) many patients are actually quite happy with their weights.
One family physician noted in his presentation the case of …
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Obesity is a sign of good health in some cultures
Based on a survey conducted by the largest cosmetic surgery provider in the U.K., 76% of British women feel “depressed” about their appearance in January, related to an average weight gain of 11 pounds during December. Inquiries about cosmetic procedures peak on the third Monday in January, dubbed “Fat Day” in the U.K.
Most people will, of course, try various diet and exercise programs before resorting to cosmetic or Read more…
Which celebrity diet will you recommend to patients?
Our children (and grandchildren) are the future and we are responsible for their growth and development. As responsible parties, we are clearly failing.
That is my interpretation of the report issued a few days ago by the Centers for Disease Control (CDC) on seven criteria known to the associate with ideal cardiovascular health as part of the National Health and Nutrition Examinination Survey. They are defined, briefly, as 1) a diet …
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How many parents are failing their children
