I was attracted to this article because it says something I believe … that obesity, especially the extreme, intractable kind, is not always effectively treated by diet and exercise. I think, in addition to diet, weight problems are being driven by chemicals in the environment. Pesticides, plastics, and other endocrine disruptors have been shown to contribute to metabolic disorders including obesity and diabetes.
Then I got to the part in the article that said surgery and drugs are what we need. There’s something unseemly about capitalizing on people’s ailments to make money. Gastric surgery and drugs (the one mentioned blocks the vagal nerve!) are stopgap and risky. I would be insensitive not to give them their due, but cleaning up the environment, including our food, also needs attention. Is that a bigger job? I don’t know, but it may be a less profitable job, which is why it won’t get done.
Here’s the study they’re reporting on:
Treating Obesity Seriously: When Recommendations For Lifestyle Change Confront Biological Adaptations, Lancet Diabetes and Endocrinology, 11 February 2015
And here’s an article that describes how pollution is killing us … in a very insidious way:
Public Health Concern Behind The Exposure To Persistent Organic Pollutants (POPs) And The Risk Of Metabolic Diseases, BMC Public Health, April 2012
There is now solid evidence demonstrating the contribution of POPs, at environmental levels, to metabolic disorders. Thus, human exposure to POPs might have, for decades, been sufficient and enough to participate to the epidemics of obesity and type 2 diabetes.
The general population is exposed to sufficient POPs, both in term of concentration and diversity, to induce metabolic disorders. This situation should attract the greatest attention from the public health and governmental authorities.
In the general population, exposure to POPs comes primarily from the consumption of animal fat like fatty fish, meat and milk products; the highest POP concentrations being commonly found in fatty fish.