Obesity
Nutrition’s impact on pain and obesity [PODCAST]
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“Both pain and obesity can have a multitude of causes. Therefore, reducing pain and body weight should be approached in a multifactorial way; nutritionally, physically, mentally, and emotionally. Failure to do so may result in short-term success …
Be a shining example for your weight loss patients
How can you be an example of what’s possible for your patients on their weight loss journey? I got this question recently in a doctor’s social media group I like. The answer is simpler than you think. As their doctor, you aspire to perfection in your medical care for them, but you can be an example of what’s possible in weight loss as a plain regular human being. Sharing …
Why body type standards are wrong in measuring health
When you visit your doctor for your regular check-up, just like every human being, your body and health are judged by three main scientific standards to determine if you are healthy and “normal.”
Standard 1 is the Standard Scientific Human Body Anatomy Book Body Type (BT1) found in any scientifically approved human body anatomy book. According to mainstream science and medical doctors, every human being is born in a standard BT1. …
A personal mission to get obese patients on GLP-1 agonists
Admittedly, this comes to you from a place of concussion-inducing-head-banging-against-brick-walls-level frustration.
For the past year, I have made it a personal mission to get people suffering from obesity on GLP-1 agonists. These drugs are all in the same class, have identical mechanisms, and three are the same generics. (Ozempic, Wegovy, and Rybelsus are all semaglutide.)
They are advertised as Wegovy, Ozempic, Rybelsus, Saxenda, Trulicity, and Mounjaro.
To say these are life savers is …
Health care’s 3 epic childhood obesity failures
I don’t know about you, but I’m tired of spouting the same old worsening childhood obesity statistics, applying the same dilute and sometimes broken strategy, not getting anywhere, judging myself as a doctor, then shifting the blame to my patient and their parents, then feeling powerless and defeated.
Lather. Rinse. Repeat.
It’s a cycle we’re stuck in, and it’s not serving anyone, especially our patients.
I’m not going to go over the impact …
Emotional eating: Why you always want food
An excerpt from How to Lose Weight for the Last Time: Brain-Based Solutions for Permanent Weight Loss. Copyright © 2022 by Katrina Ubell. Reprinted with permission of Balance Publishing. All rights reserved.
“I just really like food.”
“Eating at a beautiful restaurant or tasting something different and special while traveling is one …
Are we too scared to talk to our patients about their weight?
Talking about weight isn’t easy. Case in point, I was scheduled to perform five back-to-back fluoroscopically guided procedures. This was not unusual, but all my scheduled patients happened to be seriously overweight. Excess fat and skin made it difficult to see my needles during the interventional procedures. Therefore, what was ordinarily a routine procedure suddenly became complex and challenging.
I am an interventional pain management physician. For many of my patients, …
Skinny fat and normal weight obesity [PODCAST]
Our Shakespearean love affair with BMI
I’m standing outside the exam room, reviewing Marcus, my 16-year-old patient’s growth chart, specifically his BMI. It’s up again, and my heart sinks. I feel that all too common rush of frustration and disappointment and, “Why am I here and what is the point?”
“Am I just here to document weight gain in my patients?”
Marcus has been coming to my pediatric weight management clinic for over two years and has high …
A gastric bypass might help some people bypass cancer
In an exciting recent study, researchers found that for adults with obesity, weight loss through bariatric surgery lowered their risk of cancer by 35% and reduced their risk of cancer-related death by 43%. This was true of both gastric bypass and gastric sleeve surgeries, and the results were observed ten years after patients’ procedures.
This is great news for people who have seen weight-loss success through bariatric surgery. The study …
My journey being gaslighted about obesity, skinny fat, and body type
When I was eight years old, I was a star soccer player on a state championship team. During shirts-off practice and while down at the local pool, I noticed how different my body was compared to my peers. After I referenced my scientifically approved human body anatomy book, most of my peers’ bodies looked just like the standard human body image in the book, with all the muscles developed …
Fat acceptance is a human acceptance movement
The recent article by Danielle Crittenden, “The Danger of Fat Acceptance: The Average American Woman Is Now a Size 18” is more of the same perpetuation of our society’s deeply internalized diet culture, weight blaming, and shaming of the individual and collective pursuit of thin privilege.
The article was sent to me by a friend, but I didn’t need to read it because I’m so familiar with the …
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Confronting weight bias in health care
One day, working as a floater PT, I walked into the rehab gym, and every single therapist looked at me with the same pitying expression. The rehab manager took me into her office.
“I’m so sorry to put you in this position. One of your new patients today is a really large man. His BMI is 103. It took 12 people to move him from the stretcher into the bed last …
I gained weight and, with it, I gained life
First, this article is not to discredit or compare to anyone. This article is not to take away the celebrations of those whose behavioral changes have made them feel more healthy and fulfilled in their lives — though I will challenge the emphasis on the number on the scale as an outcome measurement to use for such celebrations. This article is to shine a light on a less commonly discussed, …
Eating disorders are mental health illnesses that don’t have a certain “look”
A few days ago, I talked to a mentor and brought up my anorexia recovery journey. Using my voice after years of suffering in silence has been instrumental in releasing myself from the inner torment while trying to create purpose from the pain. When I mentioned my struggle with anorexia, the mentor responded, “How are you doing, now?” followed by one of my most dreaded comments: “I mean … You …
Don’t be in a hurry to fast
There is a lot of confusion and outright falsehoods about fasting. You can search the internet for clarity and end up more confused than when you started.
The fact is, fasting can be a very effective tool to improve your metabolic health, increase insulin sensitivity and help you lose weight. But, who should and shouldn’t use fasting for weight loss and how long to fast for effective weight loss are questions …
Eating disorders thrive in secrecy, so let’s talk about it. Starting with BMI.
Thank you, Dr. Kara Pepper, for your recent article “Why you should not use BMI for your New Year’s resolution.”
Our weight-obsessed, BMI-focused culture has been a thorn in my side for much of my life. And since eating disorders thrive in secrecy, let’s get talking. In sharing my story, I hope to encourage revision of the way we speak to patients and utilize (or do not utilize) …
Why you should not use BMI for your New Year’s resolution
My patient balanced precariously in the bustling hallway as she carefully removed her boots and slipped into lightweight sandals. My medical assistant offered to hold her purse and jacket as my patient held her breath and stepped onto the scale. Squinting at the numbers, my patient sagged in frustration. “Same as last year. Nothing I do ever works.”
By the time I met her in the exam room, the patient had …
Don’t let the holidays sabotage your weight loss goals
The holiday season is rapidly approaching, and it is not uncommon for us to gain up to 10 pounds between Thanksgiving and Valentine’s Day. But what if we do not want to put on some insulation? What can we do? I specialize in medical weight loss, and my first recommendation would simply be to be aware of the food around us and recognize that seeing food in itself can be …
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Alzheimer’s link with insulin resistance [PODCAST]
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Past Week
Past 6 Months
Recent Posts
-
Alzheimer’s link with insulin resistance [PODCAST]
-
Why good medicine still requires strong safeguards
-
The obesity care gap for U.S. women
-
Why extending ACA subsidies is crucial for health care access
-
What heals is the mercy of being heard
-
Physician night shifts: Analyzing the financial and personal trade-offs
-
