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Is Obesity a Disease? And What Should Be Done About It?
You have noticed your obese friend suddenly slimmer. You want to know what she's doing, but you don't want surgery or side effects. My Miami patient Marcia weighed 303 pounds. She noticed newly trim, formerly 325 pound Kim walking the golf course, and asked her how she'd lost weight. Marcia now weighs 190, has quit smoking and a year later, has gained control. Labeling Marcia and Kim as diseased only makes them victims, and medicalizes their problems. Deciding obesity is a disease stigmatizes the obese, as if they didn't feel enough unwanted attention already. The "disease" label is about money, not health. It's about getting insurers, including Medicare, to pay for remedies. It's about creating a so-called "fat tax." It's about tariffs on fast food sales and food production. And it's about promoting expensive lifestyle drugs, still being tested. Many doctors do not recommend any obesity drugs, and are worried about their side effects. Some people think that fat is in their genes. And genes are everything-for infants. For people over age 50, however, 80% of your health is your choices. What you eat changes the proteins your genes make, and help your body protect itself against actual diseases to which you're susceptible, such as heart disease and cancer. Knowing what's in what you eat and finding nutrient-rich, calorie-lean food are personal responsibilities. The science of obesity is new. Olympian Maurice Greene (5'9" 176#) is overweight, because his Body Mass Index is over 25 kg/m2. Although muscle weighs more than fat, he would be labeled "overweight": an insurance risk. Lenders, employers and insurers may use that diagnosis against you unfairly. Weight distribution and body fat-not pounds alone--should be measured before labeling people. Neither Marcia nor Kim thought they had a disease when they came to see me. They felt well. Actually, very few obese patients feel ill. Yet they have-and now control-high cholesterol, high blood pressure, diabetes and osteoarthritis. They do it with their personal choices, including individualized diets, self-monitoring, accountability, and structured, step-by-step fitness. Understanding the risk of overweight comes one person at a time. Obesity is not a disease of deranged genes, willpower or pseudoscience. Obesity is a problem of planning. That's what my patients Marcia and Kim needed. You need a plan-not a label--to succeed. John La Puma M.D. is co-author of the NY Times bestselling RealAge Diet and Cooking the RealAge Way, with Dr. Michael Roizen. His published recipes are online, and he is Medical Director of CHEF Clinic (http://www.drjohnlapuma.com), a unique, referral-based, nutrition-only national medical practice with patients nationwide who want to lose weight no matter what it takes. He is also an Executive Member at Costco.
MORE RESOURCES: Viking Therapeutics Threatens Pharma Giants In Obesity Drugs Investor's Business Daily Jelly Roll’s wife Bunnie XO details horrifying experience ‘microdosing’ a weight loss drug The Independent Woman reveals 'weird, unexpected places' she lost weight while shedding 72 kg: ‘Freaked me out…’ Hindustan Times Subscribe to read Financial Times Eli Lilly’s weight-loss drug no longer in shortage, FDA says The Washington Post Jelly Roll can't keep the smile off his face as he takes to the stage after almost 300lb weight loss HELLO! Can intermittent fasting help with weight loss? Harvard Health Could unfiltered coffee help reduce visceral fat, aid weight loss? Medical News Today Is orange good for weight loss? Here’s how they work Health shots Weight Loss Drugs 101: Benefits and risks you need to know before picking up a prescription VCU Health Mounjaro and Zepbound Are No Longer in Shortage, F.D.A. Says The New York Times Hims & Hers Health Stock Falls as FDA Drops Eli Lilly Weight-Loss Drugs From Shortage List Investopedia Hims & Hers Health Asserts Demand For Its Compounded Weight Loss Offering To Continue Despite Resolved Supply Shortages Yahoo Finance Jelly Roll's Wife Bunnie XO Details TMI Experience "Microdosing" Weight-Loss Drug - E! Online E! NEWS Christina Aguilera continues to spark fan concern with dramatic weight loss: ‘She’s too thin’ Page Six Is Green Tea Really ‘Nature’s Ozempic’? The New York Times Time-restricted eating may help manage blood sugar, aid fat loss Medical News Today Eli Lilly Stock: Is LLY Stock A Buy After Snagging Approval For A New Eczema Drug? Investor's Business Daily 9 causes of sudden weight loss in women Health shots 8 reasons why consuming 1 lemon daily is best for weightloss The Times of India 'Love Is Blind' Star Hannah Jiles Opens Up About 45-Pound Weight Loss: 'You Feel Like You Have To Be Perfect' Women's Health Eli Lilly Eyes New Trials For Weight-Loss Drugs In Non-Obese Patients - Eli Lilly (NYSE:LLY) Benzinga Wegovy weight loss: The science and the hype DW (English) The Weight Loss Hacks That Claim to Work Like Ozempic The New York Times Weight loss drug breakthroughs, gene therapies, and more: 8 clinical trials to watch right now Quartz Yes, Probiotics Can Help With Weight Loss—But Which Ones Are Best? Prevention Magazine Weight-loss drugs change shopping habits The Washington Post 'Seinfeld's Wayne Knight Looks Nearly Unrecognizable While Showing Off Weight Loss on Gym Outing Parade Magazine How Kelly Clarkson Lost 60 Pounds After A Health Scare Women's Health Guest column | I’m fat. Here’s why I’m not taking a weight loss drug. The Washington Post MangoRx Addresses $49.3 Billion Global GLP-1 Market With GlobeNewswire Popular diabetes and weight-loss drug associated with lower opioid overdose risk The Daily | Case Western Reserve University Weight-loss drug linked to fewer COVID deaths Harvard Gazette Ozempic is transforming your gym Financial Times Eli Lilly weight-loss drug shortage ends, shaking up telehealth Modern Healthcare Weight-loss drugs have changed culture The Economist Study identifies weight-loss drug target in the brain: Newsroom UT Southwestern If You’re Constantly Hungry, These Foods And Drinks Will Help Curb Your Appetite Naturally Women's Health The Medical Minute: What to know about Ozempic and weight loss drugs Penn State Health News Harnaaz Sandhu shows weight loss transformation in golden new appearance in Vietnam: 'Back like I never left' Hindustan Times James Corden Just Admitted To Using Ozempic For Weight Loss, But “It Didn’t Really Work” BuzzFeed News |
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