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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: Weight Loss Drugs Changed Their Lives. Then They Lost Coverage. The New York Times WHO scientists endorse weight loss drugs for controlling obesity: What does it mean for therapies? The Indian Express ‘Was working on myself quite extensively’: Ram Kapoor shares photos after dramatic weight loss; tips on achieving sustainable fitness in middle age The Indian Express How to lose stubborn belly fat before wedding: Nutritionist shares simple weight loss plan to shed 2-3 kg in 10 days Hindustan Times Stanford Scientists Rewrite the Ketosis Rulebook: Metabolites That Suppress Hunger and Promote Weight Loss SciTechDaily Long-term weight loss effects of semaglutide in obesity without diabetes in the SELECT trial Nature.com FDA approves Zepbound® (tirzepatide) as the first and only prescription medicine for moderate-to-severe obstructive sleep apnea in adults with obesity Investors | Eli Lilly and Company FDA approves weight-loss drug Zepbound to treat sleep apnea The Washington Post Weight Loss Drug Tirzepatide Now Approved for Sleep Apnea in Adults With Obesity AJMC.com Managed Markets Network Novo’s CagriSema Blunder Underscores Sky-High Investor Expectations for Weight Loss Drugs - BioSpace Are Weight-Loss Drugs Causing a Rift in Your Relationship? We Want to Hear About It. The New York Times Meghan Trainor Says This Strength Routine 'Changed' Her Life Women's Health FDA reaffirms Eli Lilly weight-loss drug is no longer in shortage The Washington Post Risks of weight loss medication breaks FOX 13 Seattle Wellness Wednesday: Weight loss resolutions newschannel20.com FDA Approves Weight-Loss Drug Zepbound for Sleep Apnea The Daily Beast Novo Nordisk stock plunges 20% after a trial of its latest weight loss drug disappoints Markets Insider Is Viking Therapeutics, Inc. (VKTX) the Best Weight Loss Stock to Buy Now According to Hedge Funds? Yahoo Finance Novo Crashes 18% After Next-Gen Obesity Drug Misses Its Mark Investor's Business Daily THIS weight-loss drug becomes first to gain approval for treating sleep apnea; details here | Mint Mint Best way to avoid weight gain when eating out: Nutritionist reveals clever restaurant hack; says you should drink... Hindustan Times FDA confirms shortage of weight loss drug tirzepatide is over, gives compounders a grace period STAT Reason behind Diddy's drastic weight loss behind bars as lonely Christmas approaches - The Mirror US IBD 50's Hims Tumbles On Bad News For Weight-Loss Drug Investor's Business Daily Opinion: Weight-loss drugs are great, but real food still matters Los Angeles Times Weight loss drugs are getting people to the doctor. Now comes the wave of long-ignored diagnoses Quartz Lilly's Zepbound® (tirzepatide) superior to Wegovy® (semaglutide) in head-to-head trial showing an average weight loss of 20.2% vs. 13.7% Investors | Eli Lilly and Company US obesity rates drop for 1st time in a decade, with possible help from weight loss medications ABC News Updated: Novo’s 23% weight loss with CagriSema falls short of high expectations, new trial planned Endpoints News Diddy stuns with dramatic ‘weight loss, grayer’ look at new court hearing, reporter claims Hindustan Times Novo Nordisk stock price takes a tumble after the Wegovy maker's next-generation weight-loss drug underwhelms Fast Company |
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