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.
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.
Thank you for the thorough analysis! I was surprised to see topiramate on the list of “diet drugs.” I take it for migraines and non-epileptic seizures. I’ve been taking it for about a decade but for the last two years I’ve been struggling to have any appetite. It’s so frustrating that people assume that people are fat because we eat a lot and not eating will instantly make us thin. My body doesn’t work that way! I’m definitely going to ask my doctor if my appetite issues could be caused by the medication. Thank you so much. You’re educating and helping in so many ways.
The Olbers et al figure you included shows that even the "best" outcomes are BMIs of 30+, still "ob*se". Something I have thought about is how physicians think about ob*sity/their patients with that label if they meet the criteria for ob*sity but have a lower BMI than they had previously. Do docs accept that as a success? Or do they only see ob*sity? How much nuance is available to most docs?
With the surgical interventions and the lifelong requirement for increased medical support, I think about medical debt and poverty, particularly for women who are at increased risk.
Thank you for tackling this, Ragen. I knew it would be based on unethical research and shoddy science riddled with conflict of interest but it is SHOCKING the extent to which your research thus far proves that is true.
Thank you so much for putting this together, for standing up and speaking out. Yet again we see the kids being sacrificed on the altar of profits and ideology. I didn't believe in true evil until what I saw is being done to children over the past few years. Subscribed.
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.
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!
Thank you for the thorough analysis! I was surprised to see topiramate on the list of “diet drugs.” I take it for migraines and non-epileptic seizures. I’ve been taking it for about a decade but for the last two years I’ve been struggling to have any appetite. It’s so frustrating that people assume that people are fat because we eat a lot and not eating will instantly make us thin. My body doesn’t work that way! I’m definitely going to ask my doctor if my appetite issues could be caused by the medication. Thank you so much. You’re educating and helping in so many ways.
The Olbers et al figure you included shows that even the "best" outcomes are BMIs of 30+, still "ob*se". Something I have thought about is how physicians think about ob*sity/their patients with that label if they meet the criteria for ob*sity but have a lower BMI than they had previously. Do docs accept that as a success? Or do they only see ob*sity? How much nuance is available to most docs?
With the surgical interventions and the lifelong requirement for increased medical support, I think about medical debt and poverty, particularly for women who are at increased risk.
Thank you for tackling this, Ragen. I knew it would be based on unethical research and shoddy science riddled with conflict of interest but it is SHOCKING the extent to which your research thus far proves that is true.
It's all just so disgusting and infuriating. They are going to cause so much harm. Pisses me.off and makes me sad.
Amazing piece of analysis on these horrifying recommendations. Every doctor in America should be required to read this!
Thank you so much for putting this together, for standing up and speaking out. Yet again we see the kids being sacrificed on the altar of profits and ideology. I didn't believe in true evil until what I saw is being done to children over the past few years. Subscribed.
I cannot wait to read this Ragan- thanks for being a true Peaceful and Fierce Warrior Goddess for us all!