Neil Floch MD Profile picture
Jan 8 16 tweets 14 min read
The word ‘#obese’ is now considered unacceptable by the world’s academic community and should be changed by the @WHO to #obesity - because: a person has a disease called obesity and that person is NOT the disease itself. @pattynece @Eggface @PaulDavidsonPhD @ConscienHealth
Unfortunately the word ‘obese’ is still used as a medical term but many journals are NOW dropping it and editing content to the NEW correct terminology when referring to people, which is “person with obesity” @Nature @NEJM
The issue is in a state of transition as academia is changing to the new and appropriate terminology
Weight bias is detrimental to the prevention and treatment of #obesity which is now considered a disease by the @AmerMedicalAssn - language and pictures that promote bias should be discouraged if we are going help prevent and treat #obesity stopweightbias.com/weight-bias/we…
‘People-First Language is not something new; however, it is new to the obesity community. For years, other chronic disease, such as those in the mental health and disabilities community, have adopted People-First Language and encouraged its usage in all reporting.’ #obesity
People-First language has been used throughout the medical community and is endorsed by many societies. It is growing and is considered the standard by the obesity treatment societies- read more… obesityaction.org/action-through…
Just like most of the 50,000 people who have seen this post:
I had used the word #obese and felt it was appropriate.
After many discussions and learning about the focus of Person-first language I began to understand the need to focus on the disease #obesity and not the patient
Although people should be positive about who they are and their bodies: #Obesity is a disease and it is unhealthy for most people. We need to address the #obesityepidemic which is the one and only culprit
We must NOT lose focus to the #obesityepidemic and #obesity which effects 43% of Americans #US of which 73% are #overweight.
I am passionate about helping people #obesity who want help and respecting those who don’t need help or don’t want it. I respect the free speech on @Twitter and you are free to your opinions as to the trend. I can take it.
😆 lol
If you had #obesity and your insurance allowed you to take the new #weightloss medications, covered on your insurance with a $50 co-pay, would you take the medication?

#Mounjaro #Ozempic #Wagovy
There is a preference for person-first language among those with #obesity seeking #bariatricsurgery via @CJGotcher jamanetwork.com/journals/jamas…

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More from @NeilFlochMD

Jan 7
Banning Noncompete Clauses by the Federal Trade Commission would dramatically change the structure of medical health networks and greatly increase competition-It may destroy vulnerable medical systems who stand to lose physicians to higher paying neighbors ftc.gov/news-events/ne…
#Noncompete clauses in contracts prevent employees from leaving a business, practice, or company and opening up their own establishment or joining a competitor in a location adjacent to their previous employer. They prevent competition locally. 2/
These clauses protect the company that is losing the individual and prevent employees from leaving unless they choose to move their location. 3/
Read 4 tweets
Jan 3
A very interesting thread on @Reddit with @Walgreens employees and others discussing the rules made by @LillyPad to only place through prescriptions with the diagnosis of #diabetes - #Mounjaro is NOT YET indicated by the @US_FDA for #obesity as a diagnosis
The stigma for #obesity is directed at those with the disease. Unfortunately our society perceives that obesity is a “second class” disease and should be treated as such. Here @Walgreens employees are admitting to discriminating against patients 1/
The patients have been prescribed #Mounjaro “off-label” for the treatment of #obesity (because this medication has been shown to result in the highest weight loss of any medication at 22% total body weight lost) 2/
Read 4 tweets
Jan 2
I know it’s hard for you to believe but many insurance companies have purchased pharmacies:
1. @Aetna bought @CVSHealth
2. @Cigna bought @ExpressScripts
3. @UHC owns @OptumRx
1/
Mergers of medical insurance companies and pharmacy chains is creating a #verticalintegration - many would consider this a monopoly nytimes.com/2018/10/10/hea… 2/
#Verticleintegration drives up cost to the consumer and increases profitability for the industry 3/ Image
Read 5 tweets
Dec 9, 2022
About 5 years ago I had 150 new people following me every day. My tweets were seen by many then one day it all stopped…. A website in Europe detected that I was #shadowbanned by @twitter 1/
Clearly my tweets and retweets were not getting the same impact - I had gained notoriety from my social media presence and I had no answers. I had no recourse. No one at #twitter would respond to my texts, emails, or calls. So… I just worked harder… 2/
I worked on influencing others on and off social media to advocate for fair treatment of those with #obesity and access to care for treatment- others became involved in social medi and #twitter 3/
Read 13 tweets
Dec 6, 2022
This is incredible on so many fronts:
1. Brendan Fraser BOLDLY took on the role@of #TheWhale
2. He is discussing the unfair treatment of people who need #obesity care
3. He is endorsed by @AdamSandler
We have broken New Ground
I cannot remember a public figure advocating for the improvement of access to bariatric surgery so openly
Brendan Fraser is courageous and a champion of the movement to treat obesity

Thank you sir!
Read 4 tweets
Nov 12, 2022
Ten myths of weight and weightloss
1. Myth: Our current weight only depends on how much we eat and how much we exercise

Reality: Our weight depends on genetic, environmental factors and behavior as well as what and how much we eat, exercise accounts for little weight loss but can help maintain our weight
2. Myth: Any weight can be lost by anyone who eats less food and healthy food

Reality: People with obesity have a very small chance of being able to lose all their weight and keep it off by diet change alone
Read 12 tweets

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