4 ms·
treating obesity like a lifestyle condition and not a bonafide disease and dismissing patients with vague recommendations to eat less and exercise more is ignor
by andbberger 3y ago
treating obesity like a lifestyle condition and not a bonafide disease and dismissing patients with vague recommendations to eat less and exercise more is ignoring the overwhelming body of evidence supporting that behavioral interventions don't work and that the body has strong homeostatic mechanisms which fight efforts to move the weight set point.
i can only hope that you're not a doctor
- lazide 3y agoSo what do you propose? Because what you wrote sounds a lot like ‘it’s unsolvable’, which is clearly not true either. Gastric restriction is an extreme solution, and rarely that effective long term. Pharmacological is often fraught with serious side effects and also has poor long term efficacy. In my experience it’s usually psychiatric and environmental, which is why it’s hard to tackle, and nearly impossible without patient willingness to change - and that’s always hard. Even if willing to change, being able to change is often very difficult too as it’s rarely one factor.