Opinion

On our initial consultation with our patients, we ask the question “When did you start to gain weight, excess weight?”  They most common answer is initially during college, sedentary job and getting married because of the lack of exercise.  Yes, there are many other reasons we can go into and weight is multifactorial, but, what […]

The use of probiotics has become almost universally recommended.   Two new studies advise caution on the blanket use of probiotics.  Probiotics are beneficial in some patients but other patients may, unfortunately, have little response and even show adverse reactions to probiotics.  To summarize what we know:   Stool samples alone do not provide an accurate picture […]

There is a perception that one of the benefits of breastfeeding is weight loss.  This premise makes sense since at least 500-1000 calories are expended in breast milk production. That’s like running five to ten miles! Based on the current data that it takes 4500 calories to burn a pound of fat, one would expect […]

People struggling with weight need intensive multicomponent behavioral and medical intervention. Not enough people are getting the help they need. It’s not even close. Stokes et al 1 outlined a cascade of engagement from perceiving oneself as overweight, desiring to lose weight, attempting to lose weight, seeking care from a healthcare professional for obesity, and […]

As Obesity Medicine physicians, we see patients with NAFLD/NASH every day. I have seen many patients with elevations in LFTs that normalize within several months of treatment. Not to mention the resolution of hypertension and DM2 as risk factors for NAFLD/NASH. [Read more]