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Diet Drugs Work: Why Won’t Doctors Prescribe Them?

newyorker.com

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Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#81
post #56

Earlier quoted context omitted.

Ultimately beholden to big business? Tell that to all the drug companies who have either had their drug denied by the FDA or pulled after approval [1]. [1] http://www.fda.gov/safety/recalls/

They played the game wrong. There are counter examples of drugs that should never have been approved rushed to approval.

I think my example is pretty good evidence that the FDA isn't "beholden to big business".

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#82
post #53

Earlier quoted context omitted.

"Why don't we teach effective exercise, sports, and fitness in schools?" We do. It's called gym. Um no, and that's part of the problem. In my experience, gym class was a Hunger Games like spectacle for the athletically (but not otherwise) gifted to enjoy their brief decade in the sun at the expense of those who will peak much later in life (but of course, they're more likely to be sedentary in part because of such a…

I'm sorry your gym experience was so terrible. Mine wasn't great either. That said, the poor state of gym now is no reason to eliminate it all together. We need to reform it.

Absolutely, an ex-girlfriend knocked some sense into me in my early 20s and I've been in great shape ever since. There's probably a fantastic company in doing exactly what you propose and I'd love to be a part of it.

But a lot of tenured gym teachers I've met as an adult are the same people who were tormentor jocks in their childhood. So I've never moved further on it.

How do you propose reforming it with people like that blocking the way? Because I think America needs an intervention, Europe isn't far behind, and Asia is doing its level best to catch up right now.

There were a bunch of absolutely awesome ads in the subways of Hong Kong last year that showed a woman's flabby mid-section with a timebomb strapped to it. Contrast this with last week's Facebook kerfuffle between Maria Kang and Curvy Girl which demonstrated (to me) that anything but the most vanilla criticism of this situation in the US is apparently hate speech. Gag me.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#83
post #81

Earlier quoted context omitted.

They played the game wrong. There are counter examples of drugs that should never have been approved rushed to approval.

I think my example is pretty good evidence that the FDA isn't "beholden to big business".

Vioxx, Rezulin

http://www.cbsnews.com/news/fda-whistleblower-resigns/

http://en.wikipedia.org/wiki/David_Graham_(epidemiologist)

I hope no one you know is taking Avandia right now.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#84
post #81

Earlier quoted context omitted.

I think my example is pretty good evidence that the FDA isn't "beholden to big business".

Vioxx, Rezulin http://www.cbsnews.com/news/fda-whistleblower-resigns/ http://en.wikipedia.org/wiki/David_Graham_(epidemiologist) I hope no one you know is taking Avandia right now.

Really? The FDA just removed safety warnings from Avandia based on new safety data.

http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/uc...

I'm not arguing that drugs get approved that shouldn't. My argument is that the FDA is not beholden to the pharma industry. Do the pharma industry lie sometimes and drug get approved? Sure, but that's not "beholden".

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#85

Would anyone be able to give or link to a summary of the four drugs it mentions? How would a person evaluate which would be the best one to try?

Here is what Dr. Joel Fuhrman, M.D. has to say about weight loss: http://www.drfuhrman.com/weightloss/

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#86

Earlier quoted context omitted.

As far as nutrition goes what the government thinks is a nutritious lunch is far from it. It's way to pro carb/starch/sugar and anti fat. A typical lunch when I was in High School would be a decent sized slice of pizza, piece of bread, a scoop of corn, a sugary milk. All of those are carb sources.

The guidelines have changed. The school lunch program is putting more emphasis on fruits, vegetables, and whole grains. That said, it's still not perfect, and not every school participates, hence "we kinda do."

I know they are getting better. My school in WV participated. When inspectors came in they shut down the school store that sold chips, rice crispy treats, pop. Also a lady in the basement sold giant grease soaked pepperoni roles except when the inspectors came. All of the other soft drink machines were turned off on those days too. My wife's High School in Ohio had an ice cream sundae bar...

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#87
post #33

Earlier quoted context omitted.

I hear this kind of argument all the time and I don't buy it at all. How do poor people have less time to cook than well off people? We all work the same hours. Pasta costs next to nothing, as does rice, as do beans. Veg and dairy are a bit more but still cheap by any standards. Cigarettes and alcohol, on the other hand, are expensive. As is running a car, or going to McDonalds. So maybe try subsidising your meals by…

A better word than "time" is probably energy. Also, the GP added skills and money to the list. To make good food on the cheap, you need a bit of equipment and you need an upfront investment in spices and staples, all of which are significantly cheaper in the long run in bulk. Besides the investment, you need to plan long term, something the poor often struggle with (being poor is rarely only a question of lacking mon…

We've known for a while that there's a correlation between lack of planning and poverty. It's always been assumed that the lack of planning skills causes poverty, but recent studies are starting to show that it's often the other way around: poverty causes a huge amount of stress, which significantly limits the ability of a person to plan well.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#88

This is an interesting issue. If you're morbidly obese, a 5-10% reduction in weight could add up to significant LBs/KGs lost. So it would seem to me like this would be a great way to jumpstart and re-enforce the other aspects of weight loss. Many people give up because they don't see results fast enough. So much of weight loss is mis-understood, but a lot of it boils down to convenience, will power (choosing to resis…

Weight loss is all diet. Exercise just helps the process.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#89

This is an interesting issue. If you're morbidly obese, a 5-10% reduction in weight could add up to significant LBs/KGs lost. So it would seem to me like this would be a great way to jumpstart and re-enforce the other aspects of weight loss. Many people give up because they don't see results fast enough. So much of weight loss is mis-understood, but a lot of it boils down to convenience, will power (choosing to resis…

I have the opposite problem - can't gain weight. Doesn't matter if I eat more or less, what kind of food, how many times a day and if I am training or not - it just stays the same no matter what. Recently it's been even worse - a simple 2 hour exercise would leave me with -1 kg and I had to wait like 4 days to gain back that 1 kg lost in one exercise. I think the hormones almost singlehandedly decides what you look l…

Honestly most people I know who say they have this problem aren't eating as much as they believe. We call these people "hard gainers". If you have that much trouble gaining weight then try eating 6000 calories a day and tell me you don't put on any weight.

Re: Diet Drugs Work: Why Won’t Doctors Prescribe Them?

#90
post #5

More relevant questions: - Why don't we stop subsidizing corn so much? - Why don't we teach effective nutrition and cooking in school? - Why don't we teach effective exercise, sports, and fitness in schools? - If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc? - If we can ban alcohol and tobacco advertising to children, why not products with added…

"Why don't we stop subsidizing corn so much?" Lobbyists. "Why don't we teach effective nutrition and cooking in school?" We do. It's called home economics. "Why don't we teach effective exercise, sports, and fitness in schools?" We do. It's called gym. "If we can ban alcohol and tobacco sales to children, why not things like added sugar, hydrogenated oils, corn syrup, etc?" Go tell a 6 year old they can't have cake o…

"Why don't we teach effective exercise, sports, and fitness in schools?" We do. It's called gym.

Maybe you had better gym classes than me, but mine were tedious and boring and turned me (along with most other "nerds" in my class) off from sport until I reached high school and discovered weight lifting. I always liked Kelly Starrett's motto of "all human beings should be able to perform basic maintenance on themselves" and I wish that point was more emphasized during physical education.

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