New help for Obesity? Maybe yes!" says Derek!!!

[Modified]

Words have meaning. Trying to use some round about rationalization doesn't change their meanings. Especially when talking about diets, drugs, and obesity, the very important difference between "hunger" and "appetite" cannot be rationalized by "common misuse."

The article doesn't mention "hunger", it talks about appetite and satiety.

When I said "without hunger", I assumed people would take it to mean "no appetite". Obviously if you take "no hunger" to include noticeable but not extreme levels of appetite, then my statement makes no sense.

 

[casebro]

So who is this Derek that Fuelair is in love with, and why should we care what he says?

 

[DennyT]

"Medical-surgical" treatments for obesity are still largely more dangerous than mild to moderate obesity but quite profitable and will continue to be. Fast food is also quite profitable and that isn't going away either. Induced diarrhea may be our only hope. And you thought ebola was all bad.

 

[ThunderChunky]

Sounds great, but what they really need to do is make a pill that makes exercising more fun than sitting on your butt and watching TV.

It often is more fun. Obesity is more of a calories in problem than a calories out problem though, and hunger has a lot to do with it. People eat food that doesn't fill them up, so they keep eating.

 

[ectoplasm]

It often is more fun. Obesity is more of a calories in problem than a calories out problem though, and hunger has a lot to do with it. People eat food that doesn't fill them up, so they keep eating.

Yes. We are surrounded 24/7 by calorie dense nutritionally poor food that has been intelligently designed to avoid satiety and make you keep eating. Think of the snack food that meets your eye when you walk into a convenience store.
Salty, fatty, sugary high calorie food, its everywhere.

 

[fuelair]

So who is this Derek that Fuelair is in love with, and why should we care what he says?

(Dr.) Derek Lowe, professional working chemist, blogger on pharmaceutical chem./med.chem and much related, speaker at many med-chem conferences, writer of quite humorous columns on things (chemicals) he prefers not to work with due to their explosive, stench producing, incendiary or similar tendencies. Keeps me abreast of developments, fraud and bad science and science tracking. A big/important source for the truth about the pharmaceutical industry and it's products. Altogether, much info, cool dude.

I do, from time to time suggest people simply put his site (In the Pipeline) in favorites, but enough don't that I bring over stuff from time to time that I think might be interesting to enough here to make it worth doing!! Not in love with Derek - married, wife cool and also very knowledgeable and also (Dr.) Mrs. fuelair................ her field is education, mine sciences (BS), media (MLS) (thus the pass on information tendencies) and business (2/3 of an MLS - accounting bored the feces out of me, so).

Hope this informs and improves your life!!!

 

[The Greater Fool]

"Medical-surgical" treatments for obesity are still largely more dangerous than mild to moderate obesity but quite profitable and will continue to be.

While this statement is true, there is an incorrect implication that may or may not have been intended. To assist discussion such things, BMI is often used, with mild/moderate etc. having specific meanings:

18.5 to 25 = Normal (healthy weight)
25 to 30 = Overweight
30 to 35 = Moderately obese
35 to 40 = Severely obese
40 + = Very severely obese / morbidly obese.
NOTE: BMI is a very rough tool, based on 'average' physique.

It is true surgical treatments are more dangerous than moderate obesity (up to 35 BMI). And it is also true that surgical treatments are profitable (as are most surgical procedures) and will continue to be. However, the vast majority of weight loss surgeries are performed on severely obese (over 35 BMI) patients, not the moderately obese (30-35 BMI) as seemed to be implied.

Surgical interventions are not indicated for moderate obesity (up to 35 BMI) unless accompanied by other comorbidities. For severely obese (over 35 BMI) no comorbidities are required. I haven't had occasion to check on insurance coverage since ACA, but insurance only pays if the surgery is indicated (as stated). Many insurances won't pay at all. Of course, like other elective surgeries, cash customers can find surgeons to perform some of the weight loss surgeries.