DoctorTro Profile picture
Aug 21 8 tweets 1 min read Read on X
Obesity doesn’t just “happen” to individuals… it spreads like an infectious disease.

🧵 Let me explain…
A landmark NEJM study tracked 12,000+ people for 32 years. The shocking finding? If your friend became obese, your risk of becoming obese rose by 57%
This effect wasn’t limited to family. It held true for spouses, siblings, and friends… proving that social networks spread obesity.
Why? Because we don’t eat in isolation.
Shared meals 🍽️
Holidays & celebrations 🎉
Shared tastes in food and drinks 🥤🍕
Normalized habits around addictive food 🍟
Obesity spreads like a contagion through shared environments and behaviors, just like germs spread in close quarters… but over a longer duration
The flip side? Health also spreads.

When one person loses weight, their friends and family often follow.

New eating patterns… new norms… new expectations ripple outward.
Reversing obesity takes group effort, but the spark must start with you
👉 Change your habits and you don’t just heal yourself… you shift the health of your entire social circle.

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More from @DoctorTro

Aug 20
Defund the American Academy of Pediatrics.
It’s not a neutral medical body… it’s a corporate mouthpiece. Here’s the proof 🧵
💊 Big Pharma
AAP takes money from pharma giants.
Their guidelines? Push GLP-1 injections and bariatric surgery for kids… but demonize reducing carbs and sugar. Profit over prevention.
🥤 Junk Food Industry
AAP is bankrolled by Coca-Cola, Nestlé, PepsiCo, and formula makers.
The result? Silence on ultra-processed foods… but endless focus on drugs and surgery.
Read 8 tweets
Aug 19
After helping thousands of patients lose weight, here’s my advice for those looking for lifelong, sustainable life changes. These are the “5 MUSTS” anyone trying to lose weight lifelong NEEDS to do.

🧵/Thread
Before you understand my “5 musts”, simply ask yourself -what are the side effects of your prior weight loss attempts- NOT your reasons, NOT what you want to happen, what went wrong, what made you stop?
The 5 Musts: #1 HUNGER
Most people quit diets because they feel low energy, tired & hungry. Your weight loss attempt will need to manage HUNGER. Are food choices making you full, or are they leaving you craving more a couple of hours later? Stick to:: 🐠🥩🍳🍗🍖🍤🫑🥑🥬🥦
Read 10 tweets
Aug 14
There are 5 types of hunger that ideally should be taught to all patients with obesity

Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against

So Let’s start!
We are going to start with some easy ones…

The Cephalic phase response aka food cues - this is hunger stimulated when in presence of food.

These signals are deeply ingrained and can be conditioned

Think of Pavlov & commercials - these aren’t going away quickly or ever
Second up is appetite triggered by Social cues to eat

our social lives, whether they are business meetings, family dinners or birthdays

Unless you are going monk mode - this cue to eat is also not going away & requires attention to manage
Read 21 tweets
Aug 12
1/
🧵 Can you reverse heart plaque?
Yes—and not just with meds.
Let’s walk through the top human trials showing how exercise, nutrition, and smart supplements can slow or even reverse plaque buildup.

A thread for your arteries… 🫀
2/
🏃‍♂️ CENIT Trial (2022)
Supervised HIIT (High-Intensity Interval Training)
📉 PAV shrank −1.2% per year
This isn’t casual walking—this is structured, high-effort cardio.
Result? Plaque regression.
Control group? No change.
3/
💪 Cardiac Rehab Studies
Regular exercise improves artery function and slows plaque growth.
When combined with other therapies, it can lead to actual regression.
Movement is medicine
Read 16 tweets
Jul 24
💡NEW PAPER💡

Food addiction and binge eating symptoms can be improved without drugs or surgery using real food, real support, and virtual care.

Our new peer-reviewed study was just published:
🔗frontiersin.org/journals/psych…
💙 Like, repost, bookmark, or share this link to help spread awareness about the power of metabolic health and lifestyle changes.

🧵/ Here is what we found and why it matters. 👇Image
The intervention is called TOWARD:
📱 Text-based support
🌐 Online virtual care
🧠 Wellness coaching
📚 Asynchronous education
📊 Real-time biofeedback
🍳 Dietary change via TCR (Therapeutic Carbohydrate Reduction)

A real-world, fully-remote model. Image
Who participated?
👥 44 adults
💼 All enrolled in an employee wellness program
🩺 100% had a metabolic condition
🧠 22.7% had a mental health condition (at baseline)

Just coaching, community, and fewer than 30g of carbs per day using our TOWARD approach.
Read 11 tweets
Jul 15
Thread 🧵

...get started with low carb with these 5 simple steps
Step One
Transform Breakfast...

Getting a breakfast filled with protein & healthy fats is imperative for lasting satiety & decreased appetite throughout the day.
For breakfast, avoid these foods:
❌•Oatmeal, Cereal, Bagels
❌•Granola, Breakfast Bars
☠️•Fruit Juice, Fruit Smoothies
❌•Waffles, Pancakes, Muffins Image
Read 15 tweets

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