21/12/2024
Our “desire to be thin” is driven by societal expectations & diet culture, constant messaging that a number on the scales or size will make us happy, healthy & successful.
The focus is on weight loss, short term restrictive diets & targets (weight or event eg. holiday, wedding). It ignores health/wellbeing & long term is associated with weight gain. Weight loss in this situation is not a medical issue so medications are not appropriate & will reinforce diet culture.
Obesity means excess fatty tissue that impairs health. It is not diagnosed based on size/BMI alone. It is a complex disease & NOT a lack of willpower or motivation.
Medications like Semaglutide (Ozempic/Wegovy) & Tirzepatide (Mounjaro) - were developed & proven safe (benefits > risks) for treating obesity. We do not know if they are safe in weight loss for cultural/aesthetic reasons (no associated health issues) as this has not been scientifically studied. Short term use may change the scales but if stopped, weight will be regained. They are not a “kick start” or “reset”.
It is important to acknowledge that in society, “the desire to be thin” & “clinical obesity” may co-exist - wanting to lose weight for aesthetic AND health reasons.
Obesity Care focuses on health - medical, functional, psychological & future. It is evidence-based treatment for a complex disease. It acknowledges that weight is not within conscious control but a function of genetics, biology, life experiences & environment. Society tells us to simply “Eat Less & Move More” - Obesity Care helps reframe this stigmatizing narrative & understand obesity as a medical issue.
People living with Obesity deserve treatment as with other chronic diseases; Life interventions (nutrition, behavioural, movement, sleep, stress), Obesity Medications (Semaglutide, Tirzepatide, Bupropion/Naltrexone) or Surgery (Gastric Sleeve, Gastric Bypass).
Response to treatment is unpredictable but measured in health gain & quality of life, not just numbers on a scales. Effective biological treatments (medication/surgery) will often coincide with significant body weight reduction but this is a byproduct of treating biology. People need long term support.