Do You Consider Medications to Treat Obesity?

Robert F. Kushner, MD Do you consider using medications when treating patients for obesity? If you answered no, it’s time to make a change in your practice. Our current understanding of obesity as a chronic, progressive, and relapsing disease, just like type 2 diabetes, is useful in making the mindset shift toward a medical treatment … Read more

How Diet Alone Can Achieve Remission in Diabetes

Cate Collings, MD Every year, roughly 1.4 million US adults are diagnosed with type 2 diabetes. But when doctors discuss treatment options with newly diagnosed patients, they often fail to include an intensive whole-food and predominately plant-based dietary intervention as a potential strategy to achieve remission without medications or procedures. That’s a shame because remission … Read more

New Incretin Co-agonists Could Change Obesity Therapy

Pharmacotherapy against obesity has a poor image in Germany. “Even truly effective medications, such as GLP-1 receptor agonist liraglutide, are only taken by a few thousand people,” reported Matthias Blüher, MD, member of the board of the German Obesity Society, at the Diabetes Congress in Berlin. Potent GLP-1 receptor agonists, as well as dual and … Read more

Informal Human-Milk Donation: How to Counsel Patients

Alexa Mieses Malchuk, MD, MPH I have become obsessed with the reality that the national family shortage of formula is keeping some from adequately feeding their infants and young children. I am deeply concerned, both as a family medicine physician and a new mother, about the heartbreaking stories that I’ve heard from parents of all … Read more

Exercise, Good Sleep Help Maintain Weight Loss in Obesity

Exercise improves sleep, and together, the two help maintain weight loss in people with obesity, shows a new analysis. “Our results show that there are a lot of variables that impact the regain of lost weight,” said Signe Torekov, PhD, from the University of Copenhagen, Denmark, who presented the findings at the European Congress on … Read more

Obesity Surgery Technique Uses Magnets in the Duodenum

BRUSSELS — In the face of ever-increasing demand, surgical techniques resulting in significant weight loss are on the rise. It is simpler and less invasive to perform anastomosis by compression with two magnets, said Guy-Bernard Cadière, MD, professor of surgery at the Free University of Brussels, senior consultant in the Digestive Surgery Department at Saint-Pierre … Read more

Environmental Health Is Going to Get Very Personal

Raghu G. Mirmira, MD, PhD Earth Day 2022 has come — and gone. Gone, because the day has passed, and for many, so has the message. Earth Day is a call to action not just for a day but for a lifetime. If you reflect on the aw global events that we’ve witnessed in recent … Read more

Obesity in Type 1 Diabetes: A Two-Way Road Filled With Potholes

Obesity in people with type 1 diabetes hasn’t been a focus of research or clinical management in the past, but experts in the United States and Europe now recognize it as a unique problem and are beginning to take a closer look at options for prevention and management. Bart Van der Schueren, MD, PhD, of … Read more

IUD Cuts Heavy Menses in Nulliparous Patients With Obesity

New phase 3 data support the use of the levonorgestrel 52 mg intrauterine device (IUD) in nulliparous women with obesity and heavy menstrual bleeding. The findings, presented at the 2022 annual meeting of the American College of Obstetricians and Gynecologists (ACOG), showed a 97% reduction in blood loss 6 months after placement of the device, … Read more

Vitamin D Shows Pancreatic Dysfunction Link in T2D With Obesity

researchers published the covered study in this summary on as a preprint that has not yet been peer reviewed. Key Takeaways Levels of 25-hydroxyvitamin D (25[OH]D), also known as vitamin D3 and the major circulating form of vitamin D, inversely associated with levels of glucagon (secreted by pancreatic islet α-cells) and connecting peptide (C-peptide; … Read more