rich-cartwright

10 ms·

91.
by rich-cartwright 5y ago
It's better to think of the medication as more similar to other medications taken for chronic conditions (e.g. hypertension) than a quick fix magic pill. The papers show consistent weight loss for ~52 weeks, then plateauing off onto 68
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by rich-cartwright 5y ago
Thank you very much for this. Kind message. What was the previous startup by the way? Always interested in improving my knowledge of the space!
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by rich-cartwright 5y ago
Bigger spend is definitely important. Drug approval, decentralized decision making, consumer norms all also important.
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by rich-cartwright 5y ago
Yep exactly - the prescription drug element requires state-by-state medicine licenses.
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by rich-cartwright 5y ago
Well written. These are all core aspects of our coaching program to improve metabolic health: improve sleep, reduce stress, more pleasurable activities, better food choices, sustainable exercise routine, reasonable portion sizes. The "
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by rich-cartwright 5y ago
If you had a bigger family member who had tried everything, what would you recommend to them?
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by rich-cartwright 5y ago
The sustainability of approaches is what we hear most from the Fellas. Most diets work in the short run but aren't sustainable long-term, especially when you're already battling against your metabolism.
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by rich-cartwright 5y ago
"calories in" (too much or wrong things) is for sure important - but focusing solely on this when we're looking for practical solutions is not the most helpful framework for people who are fighting obesity.
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by rich-cartwright 5y ago
It is interesting how divisive conversations around weight can be. For a lot of people, it represents a broader theme of we view individualism & morality.
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by rich-cartwright 5y ago
Interesting references.
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by rich-cartwright 5y ago
UK market is tricky for a few reasons. Very centralized decision-making for healthcare funding, and the timelines are too long for a startup to survive. Plus us Brits are definitely more hesitant of medication approaches in general, althoug
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by rich-cartwright 5y ago
Perfect! Working our hardest to get live in WA in the coming quarters.
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by rich-cartwright 5y ago
Sounds really interesting. Would love to hear from you: my email is richie@joinfella.com
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by rich-cartwright 5y ago
Keeping food out of the house is a powerful behavioral device. It takes away the "Ability" part from the Fogg Behavior Model if you find that framework helpful.
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by rich-cartwright 5y ago
Interesting. How long have you been doing keto this time?
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by rich-cartwright 5y ago
Yep CBT (and third wave cognitive therapies in general) are very effective against emotion-based overeating (e.g. stress eating). Stress eating is widespread and addressing it is a core part of our coaching. Important to say not everyone st
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by rich-cartwright 5y ago
1. Stress causes the adrenal glands to release a hormone called cortisol, and cortisol increases appetite. 2. When stressed, we look for relief - and for a lot of people that relief comes as food, or the act of eating itself. Both of these
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by rich-cartwright 5y ago
haha Luke beat me to it
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by rich-cartwright 5y ago
This is probably a bug in our infra! We're on it now to fix. If you email richie@joinfella.com I'll sort you.
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by rich-cartwright 5y ago
Yep really good point about the family dynamics - lots of the Fellas talk about how having teenage kids around makes the dietary side really tough. How the coaching works in the program is that we dive in at the start to really understand t
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by rich-cartwright 5y ago
Yep spot on about the sustainability. We hear this all the time from the Fellas.
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by rich-cartwright 5y ago
15% average body weight loss was the breakthrough study: https://www.nejm.org/doi/full/10.1056/NEJMoa2032183 Important to emphasize that diet & exercise are only two parts of broader metabolic health. Sle
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by rich-cartwright 5y ago
We've heard this a lot..
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by rich-cartwright 5y ago
Really good question. In our customer dev, we tended to find the older guys were a more motivated initial audience because health concerns are more top of mind. Plus there's still a lot of hesitancy & stigma around medication for o
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by rich-cartwright 5y ago
Emailed you!
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by rich-cartwright 5y ago
It's a possibility. There's already another YC co doing great things in the addiction space: https://www.quitgenius.com/ We'll have to see. We have a long way to go in the coming years reaching the 35 million
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by rich-cartwright 5y ago
Not for the coming year. We'd love to as soon as we have capacity!
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by rich-cartwright 5y ago
Our focus is the US for the coming year or two. The state-by-state expansion is tricky for telehealth companies. But we're British founders so we recognize that this is needed in many other countries in the coming years!
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by rich-cartwright 5y ago
Eloquently written.
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by rich-cartwright 5y ago
It's important you've written this. We need to have frank conversations about obesity. It affects a lot of people and a lot of people have very strong views on the best solution. I'll focus on one area of your post: "The

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