was happy to see this when I woke up this morning. thank you for sharing your experience. it's been interesting watching the PBS NewsHour all this week highlight stories about people on glp ones.
Honestly confused about your "now with therapy available" section: What is a doctor's role in the life of the "healthy overweight" person? Presumably the patient's goal is to stay healthy, and the best way to do that is to eat well, be active, avoid dangerous/unhealthy behaviors. In what way does the availability of a GLP-1 change that? An analogy might be if you met a person who rode a motorcycle and wanted to live a long life. Your advice should be "stop riding a motorcycle." The fact that you can now add a feature to their motorcycle that makes it safer for them to ride (or less fun, so they stop) in no way changes that the advice to stop was the right one. I understand that as a doctor you don't want to be a nag, but somehow doctors have become important players in the pursuit of health, not just the treatment of illness, and with that comes a responsibility to tell people the truth about what constitutes a healthy lifestyle.
I think exercise DOES help some folks lose weight, when coupled with improved diet. not necessarily that massive calories are burned but metabolism changes and weight reduces. My personal N of one + 40 years of primary care bear this out.
This rarely gets mentioned but exercise is an absolutely terrible treatment for obesity, if you look at the studies it's very clear. There are lots of excellent reasons to exercise to a recreational level but weight loss isn't one of them. I think this common misconception, that even you seem to have Adam, might be a factor in why diet and exercise programmes fail so badly. People think, I'm exercising 3 times a week and nothing happens to their weight and they get dispondent. I tell patients that while exercise is great, weight loss is all about calories in. It still isn't easy but at least it's factual and realistic.
was happy to see this when I woke up this morning. thank you for sharing your experience. it's been interesting watching the PBS NewsHour all this week highlight stories about people on glp ones.
Honestly confused about your "now with therapy available" section: What is a doctor's role in the life of the "healthy overweight" person? Presumably the patient's goal is to stay healthy, and the best way to do that is to eat well, be active, avoid dangerous/unhealthy behaviors. In what way does the availability of a GLP-1 change that? An analogy might be if you met a person who rode a motorcycle and wanted to live a long life. Your advice should be "stop riding a motorcycle." The fact that you can now add a feature to their motorcycle that makes it safer for them to ride (or less fun, so they stop) in no way changes that the advice to stop was the right one. I understand that as a doctor you don't want to be a nag, but somehow doctors have become important players in the pursuit of health, not just the treatment of illness, and with that comes a responsibility to tell people the truth about what constitutes a healthy lifestyle.
I think exercise DOES help some folks lose weight, when coupled with improved diet. not necessarily that massive calories are burned but metabolism changes and weight reduces. My personal N of one + 40 years of primary care bear this out.
This rarely gets mentioned but exercise is an absolutely terrible treatment for obesity, if you look at the studies it's very clear. There are lots of excellent reasons to exercise to a recreational level but weight loss isn't one of them. I think this common misconception, that even you seem to have Adam, might be a factor in why diet and exercise programmes fail so badly. People think, I'm exercising 3 times a week and nothing happens to their weight and they get dispondent. I tell patients that while exercise is great, weight loss is all about calories in. It still isn't easy but at least it's factual and realistic.