Causes of weight gain include:
1. Diet and exercise
2. Chronic stress
3. Genetics
4. Hormones
5. Age
6. Medical conditions,
7. Medications
8. Income
9. Education
Up until now, we've always been focused on the first one. What about the rest?
Everyone focuses on diet and exercise. They use it to point fingers, blame the individual, and perpetuate the myth that weight gain is due to laziness. Ever wondered why? Who stands to benefit the most from these stereotypes?
Back in the mid 20th century, a growing amount of evidence showed that tobacco use was harmful to health. But drs still smoked in front of patients. Some encouraged their patients to smoke. Why? Because the tobacco industry did everything they could to control the narrative.
In the same way, poor diet and malnutrition (which leads to weight gain) is endangering people's lives. But we continue to blame and shame the individual instead of asking who is profiting the most in this situation. And that only serves to make the rich even richer.
It's significantly cheaper to buy food with very little nutritional value, than it is to buy vegetables. And as long as the companies that mass produce these foods can keep us pointing fingers at the individual, the longer they can turn a profit. End of story.

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More from @TheFatDoctor1

16 Jan
We #doctors are taught to believe that the solution to the so-called #obesity epidemic is to tell our patients to lose weight. I think that's the WORSE thing we can do. Telling patients to lose weight usually has the complete opposite effect longterm. Wanna know why?
There are a number of factors responsible for weight gain. Diet and exercise (obviously). Stress. Genetics. Hormones. Age. Medical conditions. Certain medications. Level of education. Income. There's a wealth of evidence that demonstrates weight gain is not just about lifestyle
But in most cases most of these factors cannot be avoided. We have no control over our patients genetics, whether they have had children, are going through the menopause, or have certain medical conditions. All we can do is try to help them with their modifiable risk factors.
Read 7 tweets
15 Jan
It's almost the end of national #obesity awareness week so here are some facts for you from the WHO:
1. Obesity is a form of malnutrition
2. #ChildhoodObesity is most prevalent in developing countries
3. Globally, there are more people who are obese than underweight
Which begs the question WHY? Why is obesity becoming an issue that affects more and more low/middle income countries in which starvation and communicable diseases remain a leading cause of death? Is it greed? Or is it something more sinister?
In recent years, opioid addiction has ravaged the USA. It is responsible for homelessness, increase in crime rates, & a number of premature deaths. The sad thing is that many opioid addicts started out with perfectly legal prescriptions from their doctors. So whose fault is it?
Read 8 tweets

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