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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: Drugs Like Ozempic And Mounjaro Could Treat Other Conditions—Here's What Scientists Are Looking At Forbes 'Miracle' weight-loss drugs could have reduced health disparities. Instead they got worse Yahoo Finance Eli Lilly Stock Gains After Study Shows Weight-Loss Drug Combats Sleep Apnea The Wall Street Journal Tirzepatide reduced sleep apnea severity by up to nearly two-thirds in adults with obstructive sleep apnea (OSA) and ... Investors | Eli Lilly and Company Eli Lilly’s weight loss drug Zepbound shows promise as a sleep apnea treatment in late-stage trials CNBC How Yale’s obesity experts help weight-loss surgery patients navigate their mental health Yale Daily News How 'miracle' weight-loss drugs made health disparities worse Los Angeles Times Weight-Loss Drugs: A Historical Review, Part 2 - ACHI Arkansas Center for Health Improvement Weight Management Supplement Market Set to Soar at 14.2% CAGR through 2034 Amid Rising Prevalence of Obesity ... Yahoo Finance Use of Weight Loss Miracle Medications in the Workplace The National Law Review Eli Lilly's Weight Loss Drug Zepbound Cuts Sleep Apnea Severity in Late-Stage Studies - Sleep Review Eli Lilly weight loss injection drug also helps with obstructive sleep apnea, company says Washington Times The new weight-loss drugs and cancer Fred Hutchinson Cancer Center The Legal Battlefield of Weight-Loss Drugs: Eli Lilly and Novo Nordisk on the Defensive - geneonline Walking can be an awesome workout for weight loss if you play around with speed and incline Yahoo Lifestyle UK GLP-1 agonist drugs like Ozempic do not increase thyroid cancer risk Medical News Today 1000-Lb Sisters: "Hot Legs!" Tammy & Amy Slaton Have Legs For Days After Extraordinary Weight Loss Milestone Screen Rant 1000-Lb Sisters' Tammy Slaton Introduces New Family Member Amid Weight Loss Transformation Screen Rant Zepbound reduced sleep apnea in trials: Eli Lilly New York Daily News Jelly Roll Unveils Staggering Weight Loss as He Prepares for 5K Parade Magazine Can Oats Help You Lose Weight? Experts Weigh in On ‘Oatzempic’ Trend The New York Times 1000-Lb Sisters' Tammy Slaton Shows Off Astonishing Weight Loss Progress With Help From JoJo Siwa Screen Rant Mama June Using Weight Loss Injections After Gaining 130 Pounds Following Gastric Surgery Entertainment Tonight EU probe of weight loss and diabetes drugs like Wegovy, Ozempic finds no link to suicidal thoughts CNBC Weight-Loss Drugs Like Wegovy Don't Cause Suicidal Thoughts, EU Says The Wall Street Journal '1000-LB Sisters' Star Tammy Slaton Praised for 'Looking Amazing' in Latest Weight Loss Selfies Parade Magazine Eli Lilly: Zepbound effective for sleep apnea, trial finds Business Insider 90 Day Fiancé's Big Ed Brown Shows Off Workout As He Reveals Latest Weight Loss Update - Screen Rant UTSW Research: Food allergies, weight-loss surgery, and more UT Southwestern |
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