Beverly G. Tchang, MD Profile picture
#Endocrinologist. Passionate about #obesity as a medical disease and a social misunderstanding. Tweets are my own. | #health #medtwitter #weightloss #medicine |

May 3, 2023, 6 tweets

Tony Ferrante MD PhD of @ColumbiaMed providing an excellent systems based overview of the "metabolic" complications of #obesity and potential mechanisms: lipotoxicity, inflammation, adipokines

Some highlights:

1/

Neurology:
Check out this relationship where higher BMI is associated with ↑ risk of #dementia EXCEPT in age >70 when it's better to be in "overweight" category

👉Aiming for a "normal BMI" is not the best goal for everyone
2/

Unsurprising relationships between #CVD and #obesity
3/

Remember that these are correlations so relationships can go both ways. I'm always suspicious about pro-inflammatory states stimulating anabolism that predisposes people to #obesity
5/

I'm often asked about anti #obesity #medications and #cancer, a worthwhile safety concern. We have some data for GLP1s and a subtype of #thyroid cancer (in rats) but also good to remember that #obesity ↑risk of many cancers and #weightloss likely ↓ this risk
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