Archive for May, 2023

Metabolic Surgery in Youth Becoming Less Rare

May 31, 2023 — Plenty of people have strong feelings about metabolic and bariatric surgery (MBS) for young persons. The idea that it might even be an option for youth can inflame the passions of people who are happy to dictate what medical care should and should not be available to other people. This response drew a lot of […]

Intentions, Appearance, and Health in Obesity

May 30, 2023 — Let’s talk about lame excuses for denial of care in obesity. Writing in Quartz yesterday, Analisa Merelli explained the challenge obesity treatment presents for health insurer. The challenge comes down to this: “The line between healthcare and lifestyle can be blurry.” In this way of thinking, insurance companies must decide if the intentions are right […]

Ultra-Processing of Study Results in Nutrition

May 29, 2023 — Expert opinion holds that ultra-processed food is not a good thing. So it’s quite natural to expect that helping people resist the convenience and taste of this ubiquitous type of food will help with dietary health outcomes. So natural that it’s quite easy to dismiss inconvenient, unexpected findings. A little ultra-processing of study results in […]

Greed versus Health and Obesity Care

May 28, 2023 — “Money makes the world go around.” Joel Grey and Liza Minnelli explained this in Cabaret. But sorting it out in healthcare – and specifically in obesity care right now – is quite a challenge. A lot of money is in play and so the tension between greed, health, and obesity care is painfully obvious. The […]

Fake Meat: From Fad to Flop

May 27, 2023 — Fame is fleeting. Just a few years ago, fake meat was a hot item with great prospects for transforming the future of food. In 2019 in the New York Times, Timothy Egan wrote “Fake Meat Will Save Us.” Other experts suggested burgers were headed for extinction. No wonder the capitalization of Beyond Meat soared to […]

Enforcing Second Class Status for Obesity

May 26, 2023 — Some health insurance plans seem to be panicking. For years, the order of things was simple. People with obesity had only themselves to blame and besides, nothing could be done about their condition. So health insurers routinely denied coverage for medical care of obesity. “Regardless of any potential medical benefit” was the language written into […]

Goodbye Bariatric, Hello Metabolic Surgery

May 25, 2023 — Are we ready for a re-think of obesity and metabolic health? Ready to change the conversation about obesity medicines and bariatric surgery? Sergio Santoro, Scott Shikora, and Ricardo Cohen certainly think so. Writing in Obesity Surgery, they say it’s time to say goodbye to bariatric surgery and move on to the framework of metabolic surgery. […]

Food Is Mental Health Medicine?

May 24, 2023 — The logic of trying to turn food into medicine simply escapes us. The week, the Washington Post has a new twist on food as medicine – telling us to eat our greens if we want better mental health. It leaves us with mixed feelings. On one hand, we’re all in on the concept of finding […]

Will Oral Obesity Meds Match Injections?

May 23, 2023 — A pair of reports on Monday raised the possibility that we may soon have oral obesity meds that match the remarkable effectiveness of injections. One of these drugs is an oral formulation of semaglutide that’s already available at a much lower oral dose for diabetes under the brand name of Rybelsus. Novo Nordisk makes it. […]

Success in Reducing Self Stigma

May 22, 2023 — Despite a great deal of progress in recognizing weight bias and stigma, many challenges remain in overcoming it. Explicit expressions of weight bias no longer get a free pass. So they are becoming less common. But implicit weight bias is as strong as ever. Perhaps even more challenging is the weight bias that people direct […]