Obesity Medicine Specialist PA, Founder Gaining Health, Obesity Educator, Speaker, author
Join Nina Crowley, PhD, RDN, LD and myself on this podcast, streaming on both seca – precision for health's youtube channel https://lnkd.in/eb7Shfbr and on The Gaining Health Podcast: https://lnkd.in/ee48erPa We discuss the nuance of comprehensive #obesity care, dubunking all or nothing approaches, or thinking in an ‘either/or’ mentality! We discuss the need for “Both/And” thinking about causes of obesity, treatment options, the care team, virtual/in-person care, individual/group visits, and how putting the individual at the center, providing patient-centered care and appreciating the nuance and complexity is key for this lifelong journey! Nina and I share our experience and wisdom from working in metabolic and bariatric surgery programs and want to bring what they’ve learned about interdisciplinary, comprehensive care to the medical obesity management field for maximum effectiveness. Outcomes are also an area where black and white thinking about goal weight and BMI is problematic. When we give other metrics and can look at health conditions, getting off medications, moving more, engaging in life more, we are able to connect to people’s core values, and strengthen their commitment to health. Body composition analysis provides more data than can be more behavioral focused, that captures the individual picture for someone and looking reducing excess adiposity, and keeping muscle mass a priority provides a behavioral tie in to increased strength and functionality!
Rick Shalvoy
9mo
Thank you so much for highlighting this very important point! I am the first to admit that precision medicine begins with precision testing, but early efforts to provide precision testing for patients who are living with obesity have so far been based on 'either/or' thinking. In certain circles (I will refrain from mentioning any names), moderating gut motility with incretin mimetics is indicated for patients who test positive for "Hungry Gut," and appetite suppression (Qsymia) is indicated for patients who test positive for "Hungry Brain." Should we then ignore the gut-brain connection in the management of obesity and associated health conditions? And why are we pretending that delayed gastric emptying is unrelated to the activation of GLP-1 receptors in the BRAIN that impact hunger and satiety signaling? Since the gut-brain axis is a bi-directional communication system that links the central nervous system with the enteric nervous system, what are we accomplishing by trying to compartmentalize the gut and the brain? That is counterproductive 'either/or' thinking. It is not precision medicine.
Excellent!
Health Psychologist | Somatic Sound Therapy & Yoga Expert | Expert in Emotional Eating, Stress Management & Transformational Healing
9moLove this!