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C MN's avatar

I really appreciate this longer dive!

Man, talk about telling on yourself. Imagine reading "With intensive interventions, asthmatics can improve lung function by 1%-3%". Nobody's going to go to that much work for that little. I don't know if this is audacity or stupidity...I'm not even sure which one is worse.

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Christy's avatar

Thank you, thank you and thank you!

I’m a pediatric dietitian working in GI. I support a clinic with one of our providers who “specializes in nutrition” and these new guidelines scare me for what is to come. I never wanted to work in the “weight loss” or “bariatric” realm and have been forced into it and I see the harm that many well-intentioned physicians inflict on children and families along with a system that lacks proper support. I have patients come for evaluation of bariatric surgery and even one who follows post surgery (even after the RD and MD in GI did not deem them an appropriate candidate) who in later teen years now has nutritional deficiencies due to a lack of following the required dietary needs/supplementation. I hope to have a conversation with my physician group on how these recommendations fall short of being appropriate and a greater need for weight neutrality in approaching children and families in larger bodies. I hope to use some of your analysis on this article (which I’m still reading) to help them understand the risk for harm AAP guidelines can now cause.

Again thank you!

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