Even children today have signs of artery disease. Fast foods and sugary drinks have long term consequences. There is an obesity epidemic today where over 60% of the population is overweight or obese. What is common today and "NORMAL" is not healthy. The average person today is not healthy and is taking medications. Heart attacks were once only common in people over 65. Today people in their 40 are having heart attacks. Add more plants and vegetables to your diet and less junk and overly processed foods
@@annarebecca3384 .... unless the "gluttony" is the result of an addiction - the same way people waste away from certain drug addictions. I'm WFPB but have a lot of sympathy for people who struggle with their weight.
@@annarebecca3384 Food addiction is a misnomer. We are not addicted to food, we need food. If we don't get it, we die. Breatharians may claim differently, but there are only two types of those: the charlatans and the dead. That said, there is such a thing as foods that trigger overeating and that may superficially look like an addiction. The treatment is simple but not necessarily easy to implement: just stop eating those triggering foods.
Good for you. Congratulations. Intermittent fasting did not work for me at all. In fact, it made me violently ill for a while. That said, it is always worth the try because being fat is not a good thing. I later found a way of eating that reduced hunger to tolerable levels, and simple willpower did (and does) the rest. I went from 127 kg in 2012 to around 65 kg right now, so it seems to be working.
@@BartBVanBockstaele Great to hear from you ! I’m thrilled that you’ve found a route that works for you. Always advisable to seek medical advice before starting a new diet. I’ve tried all manner of diets such as Slim Fast, Keto, Atkins, weight watchers. Although I experienced weight loss, it wasn’t sustainable. For, abstaining from food allows my digestive system a rest/reboot plus it’s got rid of my cravings..a huge reason my previous weight gain…from being a previous carnivore, anything plant based really works for me.. all the best ✅
@@5thdimensionliving727 Thank you, and success to you as well. You are right, it is always best to seek medical advice before attempting something. While being fat is not an advisable condition to be in, losing weight is not a benign process either. As with all treatments that work, there are or at least can be undesirable effects. In the case of weight loss, it is almost always better to lose weight than to stay fat, but that does not guarantee that there will not be any problems. We seem to be somewhat similar. "Going plant-based" was never my intention and was not suggested to me. It was simply the logical and essentially unavoidable choice. In more than 40 years of trying, I have tried several plant-based ways. They failed. Utterly. Because they were unsustainable for me as they left me ravenously hungry and lead to overeating as a result. And then, completely unexpectedly, I found another plant-based way that I could maintain, and quite happily so. Now, I no longer have to think about it (but I do, 40+ years of suffering tend to be rather unforgettable). As for Atkins, I tried that one as well. Never have I gained weight more rapidly. The hunger and obsession with food were unbearable. That was the exact opposite of what Atkins claimed and many of his followers continue to claim, at least in the short term. It does not seem all that clear to me that the claimed effects are real. Just because it did not work for me does not mean it cannot work for others, but it clearly didn't work for Dr. Atkins himself as can be seen here: ruclips.net/video/zJ-2M02ON5E/видео.html
@@elephantintheroom5678 To be more precise: it is *associated* with maintenance of weight loss. The claim is based on the observation that most -but not all- weight loss maintainers tend to exercise. You may want to look into the constrained total energy expenditure model which is an attempt at explaining why exercise does not have a significant effect on weight.
Unfortunately, the SAD (Sad American Diet) is ubiquitous, even in other countries now. I think with just education about our bodies' true food needs we could change people's eating habits. There are many other health needs and access to healthy foods that should be addressed, too. Thank you Chuck for being part of the solution.
No, my experience is education doesn't make a difference with most people. I am a nurse. The average nurse is markedly overweight. They know the consequences of their overeating. One of my ex-nurse friends said, "I'm not going to deprive myself of the foods I like to eat" (ice cream & cookies). She is at least 80 pounds overweight.
Yes! We can really see that ignorance whenever obese people share how they try to eat healthy. It rarely is actually nutritious and in the right diversity and balance. Obese Americans grew up not understanding portions or what healthy regular meals and snacks are. The vast majority don’t know how to cook or shop well. They rely on take-out and quick solutions to hunger and cravings. To me, they always seem utterly lost!
@@annemccarron2281Who says nurses know how to cook or shop well? Knowing something about the Mediterranean Diet (or similar guide) and actually putting it into action are 2 different things. I think your nurse friend proved that when she assumed she would have to ‘give up’ ice cream and cookies entirely to lose 80 pounds. She wouldn’t (unless - plot twist - her body can no longer tolerate those things). I don’t think all nurses have the time or energy to really act in an educated way about their health. So the existence of overweight nurses doesn’t prove obesity a ‘disease’ beyond control or prevention… through training and nutrition education. If your friend took 10 minutes to eat a fiberous apple and nuts or a side-salad with a bit of chicken just before the cup of fro-yo or ice cream, I think she would be shedding those pounds!
Is it really worth prescribing a medicine to 80% of patients when who knows how many of them will suffer from serious side effects that are just coming to light, such as stomach paralysis, feelings of suicide and extreme depression, thyroid, cancer, pancreatis, chronic vomiting, did I miss any?
Intermittent fasting is an under utilized tool for fighting obesity. Not eating 3 or 4 hours before bed time will allow time for your last meal to digest before bed. This will improve the quality of your sleep and reduce the need and urge to wake up and go to the bathroom in the middle of the night. It allows your body time to focus on healing and repair during the night rather than focusing on digesting food. It also extends your fasting time by adding the hours before sleeping to your hours asleep. The longer you go without eating will allow your body to shift from burning glucose to burning your stored fat. You will wake up in the morning a fat burning machine.
@@peter5.056 It is largely irrelevant. What counts is energy content. Intermittent fasting is not wrong. In fact, we all do it since none of us eats while we are sleeping. Fasting for longer periods may or may not be doable for individuals, but again, it is not wrong. The best-known example of that is Angus Barbieri who fasted for more than a whole year and went on to live a life while keeping the weight off although it should be added that he died relatively young (no official cause of death is known). That said, there are very good reasons to frown upon that. Fasting for longer period is not a benign procedure and it is risky. It should be done under strict medical supervision, and even then there is the potential for mishaps.
@@peter5.056 Actually I said that what you typed is largely irrelevant, and I said why: "what counts is energy content". It does not matter much if at all what the source of that energy is, starch or fat or even protein. Ingesting too much energy is what will undo weight loss, the rest is at most a skirmish in the margin with no effect on the end result.
That's insanity! "How can I keep my old lifestyle and still lose weight?"...What! That's insanity!!! Your old lifestyle is what made you overweight! Duh! The next time someone makes that dumb statement, the Dr should stand them in front of a full length mirror and say look at yourself! This is what your old lifestyle looks like. Now get out of my office and come back when you're ready for change! Doing the same thing expecting a different result is insanity!
'Diet and body mass index in 38 000 EPIC-Oxford meat-eaters, fish-eaters, vegetarians and vegans .. International Journal of Obesity volume 27, pages 728-734 (2003) .. Fish-eaters, vegetarians and especially vegans had lower BMI than meat-eaters. Differences in macronutrient intakes accounted for about half the difference in mean BMI between vegans and meat-eaters. High protein and low fibre intakes were the factors most strongly associated with increasing BMI. ...'
Cookies were the first thing I gave up long before I became plant based! They were loaded with calories and I had to eat the whole box. I knew that was wrong. 😂
Dear dr benard,I have been following you for a while,but the veggie diet (menopause) with little fat and soy ,does not help me very much from my hypoglycemia,I try to eat more fat and proteins (vegetable),to feel better,and to stay less in the sugar dipwhat is that right way to feel better?gr sigrid
Doctor's have to commit to helping patients combat this. People never were this way until recently, last 30 years. Stop talking about them and help them. Thats terrible 😮
If fresh good pbf's would be cheaper than what is accessible to people. What do the medications do? Sometime the meds cause other problems, I guess short term they could help but I'm not for using meds. I would think that the food choices need to change as long term they will not be doing themselves any favors in eating the same ways that got them into their position. Better choices need to be made
I agree completely. While overweight and obesity are the result of unfortunate choices, those choices are not always voluntary. It is why I tend to revolt when a "lifestyle physician" recommends kale, for example. 2000 kcal of potato chips cost about 5 dollars, while 2000 kcal of kale cost about 50 dollars and that is not even counting the overhead in shopping, storing, preparing and cleaning up. That makes for a rather expensive lifestyle that most people cannot afford, and the people who can afford it the least tend to be the people who need it the most. What we should do is reduce the price of healthful foods by an order of magnitude and follow that by an increase of the price of unnecessary foods by an order of magnitude. That would give everybody a fair shot at a better diet.
Yes, you can. You have to find a way of eating that reduces hunger to tolerable levels or better and once you have that, you just have to use your willpower, while taking into account that you cannot merely follow a diet for a while. Weight loss is an endeavour that is limited in time, weight maintenance is for the rest of your life thereafter.
Do your research. Following a vegan diet and filling up on veggies, beans, fruits, and healthy foods will cause you to lose weight naturally. Take control. Stop eating crappy food. If you stop eating sugar and refined foods, you won't believe how wonderful an orange tastes!
Try Dr. John McDougal's free program on his website and there are also free recipes on his website. After 2 weeks I started to love the food. I eat until I'm full and my weight is going down by 2 pounds each week. I am finally free of extreme obesity. Chef AJ's Caloric Density RUclips video explains how it works. Most importantly I am free from food cravings. Certain foods used to shout my name, now it is an infrequent whisper. It's all free of charge. Give it a try, nothing to lose. 🤗
I disagree. It is a medical doctor's duty to inform her/his/its patient that there is a weight problem. Overweight, including obesity, is a medically adverse condition and an ethical doctor should try to address it with the patient. In that sense, overweight is no different from, say, skin cancer.
Don’t tell people with a heart condition they have a heart condition? because they already know ,what next, Don’t tell, smokers to quit? Smoking shaming?💪🏻💪🏻💪🏻
I agree that it’s pointless to simply point out someone’s weight. But there are severe medical consequences to being overweight or obese, including early death. So those need to be addressed with the patient and it needs to be made clear that they are a *direct* consequence of being overweight. But the discussion should not be all doom and gloom. Solutions like increasing fruit and vegetable consumption can go a long way to help weight reduction. While going vegan would be best, one’s diet doesn’t need to be all or nothing. And even small steps, especially those that increase fiber intake, are helpful and healthier. Fiber feeds the good bacteria in our gut. Those bacteria then produce short chain fatty acids. When the cells lining our gut ingest those fatty acids they produce GLP-1 inhibitors, similar to the action of Ozempic, but without the side affects (or high cost). Fiber makes you feel full when its bulk fills your stomach and then it reduces your appetite a second time when those bacterially produced short chain fatty acids are absorbed in your gut.
@@broddr You make a good point . I am not entirely unbiased since I make it myself, but that does not make it invalid. As others have pointed out, obesity is a perfectly normal reaction to overfeeding. However, that does not make it a benign condition. Dying is also a perfectly normal thing, that does not mean we don't do our best to fight it. When I went to med school at the end of the 70s, we were told from the very first year that overweight was the prime driver behind a slew of diseases. If there is money to pay for high-cost drugs to lose weight, there is, or should be, money for good nutrition. Unfortunately, that is not how things are right now, not in theory and not in practice. As a hypothetical example that uses the darlings of lifestyle medicine: 2000 kcal (the average used on food labels) in potato chips costs a bit less than 5 dollars. 2000 kcal in kale, costs around 50 dollars and 2000 kcal in asparagus costs about 175 dollars (today's price at Loblaws in Toronto). That does not include the hours needed for shopping, the cost of refrigeration, and the time needed for preparing, cooking, and clean-up. It can be done more cheaply but those are rarely, if ever, mentioned and even those will be more expensive. In Toronto, today (20230803), the cheapest I could find was green cabbage (on sale), 14 dollars for 2000 kcal. In these race-to-the-bottom times where greedy companies pay their workers less and less those numbers are ridiculously hypothetical. There are cheaper ways, but they use products (white potatoes, for example) that are not generally recommended and that are only satiating if eaten in quantities that far exceed energy requirements and will therefore contribute to obesity, not solve it. I oppose "fat and sugar taxes" because those punish the people who don't have a choice. What should be done is to change the market situation so that healthful food becomes ridiculously cheap, i.e. affordable for everyone, while unnecessary foods become ridiculously expensive. People will, begrudgingly, switch to a more healthful diet and be better off for it. Those who are able to afford the junk, will also be able to afford treatment, so they would still have more choices than others, and their obesity would be a genuine choice, not like it is right now.
@@RiDankulous Congratulations with your improvement. Keep it up. I have to admit that this discussion really puzzles me. Patients are complaining about doctors telling them they need to lose weight, they refuse to step on scales because it is demeaning... In that case, why go to a doctor at all? People can just use a ouija board and return to the dark ages.
Pain can be a very helpful stimulant for change. Death & disease should be enough to dissuade most people from destructive habits. So, perhaps we need to start getting a bit tougher and more real with people to make an associative connection in their brains. These foods lead to disease & death versus these foods which lead to health & life. We need to stop treating people nicely - as this has certainly not worked, and hit them with hard truth.
IDK. They just say that you are going to die anyway. And they would rather eat steak and shake and chips rather than have clean arteries and live a few more years. It's a hard sell! So I try very hard to keep my mouth shut now, offer my folks some plant based foods when I cook or go out. It is amazing that some of them are asking for and eating my vegan stuff sometimes. 😅
@@melyndaduh3501 I gave a lecture some months ago about veganism and spirituality. Sure people shook their heads 'yes', but the real difference was when they tasted the Vegan food I brought, they regretted eating the meat based diet which is inferior to the food I brought. Keep up your good work my friend, we are on the light, bright and right side.
Grow up. I believe that with any disease, there is a very small percentage of misfortunate people with a physiological disorder causing a disease. This disorder is totally out of their control and may cause these people to be sick. That being said, for the rest of us, I think that it's time we all grow up. When we were kids and we wanted that extra candy bar, or wanted to stay up late, or wanted our sibling's toy, mother was always there to say, "no, stop that". We are now older, and mother doesn't tell us what to do anymore. Most diseases are the result of want and excess - too much salt, too much sugar, too much fat, too much processed food, too much lack of exercise, to much lack of self discipline, etc. We look for reasons or labels outside ourselves to justify our actions - I had a hard day, I am depressed, one more of these won't hurt, etc. Living is one big surprise, and is full of great times and not so great times. Please, let us all stop calling many diseases, diseases, and label them what the actually are - CHOICES. I know that to some, what I say may sound very calloused, contentious and mean - this is not my intent. I also suffer from 'choice' but have been slowly curing myself over many years - everyday I get closer and closer to remission. At times, the choice we make may be a very difficult one but it is still a choice, and most often, it is your choice - it is not your disease. I believe that once we start taking responsibility for our actions, we then begin shedding our chains, and begin living the healthy lives that we were all meant to live. Peace and love always.
The problem is that our processed food industry, fast food corporations, and industrialized agriculture make it all too easy to make the wrong choice. There aren’t any drive-throughs serving steamed broccoli over rice with an apple for dessert.
@@broddr Yeah, that's right. The majority of people want this food - they've been sensitized and brainwashed into eating very abundant unhealthy fast food.. This is why I rarely eat out and when I do, I eat only from one place - they make a mean black bean pita. Supply and demand is working its usual magic... sell the people what they want. Too bad supply and demand is also working its magic in the medical system. More doctors, more patients, more beds, more meds, more suffering, more money, more chronic disease... The answer is so simple that it's simple - people need to wake up and start demanding healthier fast food choices by passively letting their wallets do the talking. It's really only a very small step for each of us to make, but it will produce such a monumental positive change.
Fifty years ago I never saw obese people. Growing up, there were no fat kids in school, NONE, and I attended big-city schools. This is a new thing, and it is NOT a "disease". Good grief, stop making everyone a victim. People are accountable for their food choices!!
@@jbach1841 Of course. A real "disease" can't be cured by stopping a given behavior. It's all about choices (said the daughter of alcoholic parents who is NOT alcoholic...).
Not entirely. A good argument can be made for calling obesity a disease, but what you call it is irrelevant. It is a condition that is caused by ingesting more energy food than you need. That has been known for a very long time. Here an example from 1943. That is not fifty years ago, but 80 years ago: ruclips.net/video/DDXmqSQwhyU/видео.html
Listen to the video carefully. The answer is in there, but in more general terms: you have two choices: continue to take the medications forever (and there are dangers attached to that) or change your diet forever. That latter is the more prudent and better choice.
You obviously are speaking from years of experience. Good for you. Site all of your papers you have written and or done work on. I would love to read all of your evidence based research. Thanks in advance.
Radical statement of yours but appreciate your comment though - same as gambling the promoters flood our environments with garbage for their financial gain.
If you had written "Obesity can be a personal choice" you would have been correct. Now you aren't. In addition, the statement is incompatible with the claim of many obese that calling them 'obese' is fat-shaming. If they became obese by choice, they should be happy or perhaps even proud to be called obese. Not many are.
@@kathimiller6289 It could also be an expression of her/his/its personal feelings about her/his/its own obesity. Maybe it really was a personal choice and he/it/she wants to set the record straight.
Three minutes into watching this and I already feel like screaming! Obesity IS NOT a chronic disease; neither is type 2 diabetes. Medicine cures neither condition but lifestyle changes can reverse many conditions caused by poor lifestyle choices. I'm almost 70 years old and over the past few years have lost half my body weight and gone off all my meds. Doctor - I lost this weight on a LOW CARB HIGH HEALTHY FAT DIET (not a low fat diet!). If you are telling your patients that their obesity is actually a chronic disease that needs to be treated by surgery and/or meds then how can they be motivated to make/maintain major lifestyle changes? I suggest that our society has a disease that causes unusual growths to appear on grocery store shelves instead of real food! Let's regain our health by healthy eating and the pounds will just melt off. This was my experience.
@@annarebecca3384 Well, there are plenty of other diseases besides obesity. There's gluttony, stupidly, selfishness, greed, power hunger, pocket lining, and worst of all, allowing big pharma and big food to take control of this country so as to cause these lifestyle problems in the first place and then label every negative result an incurable chronic disease which can only be controlled by surgery and and medication because the average person is so incapable of learning of how they became so unhealthy and how to regain their health.
It does not matter what the composition of your diet is. The only thing that matters is that you are in an energy deficit. One way to "motivate" people is to find a way to feed them an energy deficient diet that keeps hunger to tolerable levels or better. Once you have that, it is merely a matter of willpower.
@@peter5.056 I hear these objections often, so let me give you my perspective on this. I should add that I am not necessarily unbiased because I weighed 127 kg at the end of 2012 and am currently hovering around 65 kg with a (very slow) seesawing downward trend. 1. willpower is irrelevant. I argue it is not irrelevant. If you want to change to a better diet, you have two options. The first is to have yourself incarcerated in a facility where you are not given a choice (and yes, that actually requires willpower as well, unless someone else forced you and made the decision for you). The second is to do it of your own volition. That is willpower. It does not matter that there is an obesigenic environment or not. You simply do what you should be doing and stop doing what you should not be doing. That requires willpower. That is clearly stated in the video. However, if you can tell me how I did it, without using willpower, please tell me. The way I see it, is that you have given the answer already: "It's a totally unnatural situation, and we simply lack the genetic programming to fight against it without a seriously well thought-out plan of action, and even then it's extremely difficult." When there are right decisions and wrong decisions, you need to use your brain to make the right one, even when your "feelings" tell you to do otherwise. In other words, you need willpower. 2. "Additionally, it is impossible to define an energy deficit. Attempting to do that (by weighing and measuring food) is sheer madness, and would drive just about everyone to drink." It is actually extremely simple, and most people have the tool they need: a bathroom scale. If you are losing weight, you are at an energy deficit. If you are gaining weight, you are living at an energy excess. You are allowed to weigh everything, and it can be (and often is) extremely useful. It is an extra tool. You mention calorie density. As a European, I understood what it meant, but I did not understand the hooplah around it, until I came to North America. North American food labels usually talk about "cups" and "tablespoons" and the like. European food labels have everything normalised to calories or joules per 100 g. That is, in effect, calorie density. Not only that, it is so much more precise than the North American system. That said, calorie density is an incomplete gimmick. Total energy is what allows one to gauge the energy content, not the density. 1 g of oil has an average energy availability of 9 kcal. Sugar has an average availability of 4 kcal per gram. However, if you consume 100 g of oil, you get 900 kcal and if you consume 300 g of sugar, you get 1200 kcal. If you only look at energy density, you are getting more energy from the food with the lower energy density in this rather caricatural example. In other words, the calorie-density way of thinking is the same as the energy-content way of thinking. There is a false dichotomy here. Energy density is -at most- a tool to estimate total energy content. I would argue that what you are arguing for meals is not wrong, it just needlessly complicates matters, but if it floats the boat for you, I would certainly not try to discourage you from doing it.
@@peter5.056 You could, but it would still be wrong or at least incomplete. As I said in my other reply, 100 g of oil will provide you with approximately 900 kcal and 300 g of sugar will provide you with about 1200 kcal: lower energy density but higher calorie content.
I’m a little shocked this came from the Physican’s Committee. This is a doctor promoting very dangerous medications to 80% of his patients. IMHO he doesn’t belong here.
Sorry you cannot make a bussiness out of medication first approach….what about the patient and the depression they go through when they cannot lose weight
I am very disappointed in the community comments this post has cultivated, and frankly, I think Chuck adds into it by always questioning "Are we just protecting someone's feelings?" Yeah, heaven forbid we be kind to other people. How about ... we don't know anyone's struggles, and if you're not that person's family and family care physician, MYOB? The worst thing about the WFPB community is the holier-than-thou, anti-science attitudes it attracts. Looking at you, Anna Rebecca.
When science is presented that eating meat is good for you eating diary is good for you and all the Coconut and Palm oil that’s loaded with saturated fat is good for you. That’s not really science that’s what a lot of people are anti-science about. Its sponsored science. Yes butter is better for you than lard. Is this really an argument ? Thats how they do it though. Switch you from one thing to another. Neither one is good for you, but there is one that is better.💪🏻💪🏻💪🏻
While I wouldn’t offer unwanted advice to a stranger, isn’t it also unkind to ignore the struggles of a friend or coworker? Especially when you have science based evidence that can be _used by anyone_ to ease that struggle.
WE HAVE FREE WILL AS TO WHAT WE PUT IN OUR MOUTH. WHEN YOU KNOW BETTER YOU MUST DO BETTER. STOP WITH THE VICTIM MENTALITY. IF YOU ARE DIS AT EASE CHANGE. OWN WHAT YOU CHOOSE. ONLY YOU CAN. YOU MUST LOVE YOURSELF BECAUSE YOU ARE SPECIAL. NO TWO PEOPLE ARE THE SAME. GOD MADE PERFECTION WE STUFFED OURSELVES.
Even children today have signs of artery disease. Fast foods and sugary drinks have long term consequences.
There is an obesity epidemic today where over 60% of the population is overweight or obese.
What is common today and "NORMAL" is not healthy. The average person today is not healthy and is taking medications.
Heart attacks were once only common in people over 65. Today people in their 40 are having heart attacks.
Add more plants and vegetables to your diet and less junk and overly processed foods
Obesity is such an important topic to discuss at this time. Thank you for addressing it..
So many are navigating food addictions. 😢
"Food addictions"? Are you kidding? The "habitual greed or excess in eating" is called gluttony.
@@annarebecca3384 .... unless the "gluttony" is the result of an addiction - the same way people waste away from certain drug addictions. I'm WFPB but have a lot of sympathy for people who struggle with their weight.
@@annarebecca3384food addiction is real
I was qualify it as fast/processed food addiction’
@@annarebecca3384 Food addiction is a misnomer. We are not addicted to food, we need food. If we don't get it, we die. Breatharians may claim differently, but there are only two types of those: the charlatans and the dead. That said, there is such a thing as foods that trigger overeating and that may superficially look like an addiction. The treatment is simple but not necessarily easy to implement: just stop eating those triggering foods.
I lost weight slowly and keeping it off with 18-20 hours of intermittent fasting per day and following a whole food plant only diet ❤ it works
Good for you. Congratulations. Intermittent fasting did not work for me at all. In fact, it made me violently ill for a while. That said, it is always worth the try because being fat is not a good thing. I later found a way of eating that reduced hunger to tolerable levels, and simple willpower did (and does) the rest. I went from 127 kg in 2012 to around 65 kg right now, so it seems to be working.
@@BartBVanBockstaele Great to hear from you ! I’m thrilled that you’ve found a route that works for you. Always advisable to seek medical advice before starting a new diet. I’ve tried all manner of diets such as Slim Fast, Keto, Atkins, weight watchers. Although I experienced weight loss, it wasn’t sustainable. For, abstaining from food allows my digestive system a rest/reboot plus it’s got rid of my cravings..a huge reason my previous weight gain…from being a previous carnivore, anything plant based really works for me.. all the best ✅
@@5thdimensionliving727 Thank you, and success to you as well. You are right, it is always best to seek medical advice before attempting something. While being fat is not an advisable condition to be in, losing weight is not a benign process either. As with all treatments that work, there are or at least can be undesirable effects. In the case of weight loss, it is almost always better to lose weight than to stay fat, but that does not guarantee that there will not be any problems.
We seem to be somewhat similar. "Going plant-based" was never my intention and was not suggested to me. It was simply the logical and essentially unavoidable choice. In more than 40 years of trying, I have tried several plant-based ways. They failed. Utterly. Because they were unsustainable for me as they left me ravenously hungry and lead to overeating as a result. And then, completely unexpectedly, I found another plant-based way that I could maintain, and quite happily so. Now, I no longer have to think about it (but I do, 40+ years of suffering tend to be rather unforgettable).
As for Atkins, I tried that one as well. Never have I gained weight more rapidly. The hunger and obsession with food were unbearable. That was the exact opposite of what Atkins claimed and many of his followers continue to claim, at least in the short term. It does not seem all that clear to me that the claimed effects are real. Just because it did not work for me does not mean it cannot work for others, but it clearly didn't work for Dr. Atkins himself as can be seen here: ruclips.net/video/zJ-2M02ON5E/видео.html
An hour of moderately easy exercise (like brisk walking) a day is proven to maintain weight lost, as is maintaining adequate sleep at night.
@@elephantintheroom5678 To be more precise: it is *associated* with maintenance of weight loss. The claim is based on the observation that most -but not all- weight loss maintainers tend to exercise.
You may want to look into the constrained total energy expenditure model which is an attempt at explaining why exercise does not have a significant effect on weight.
Unfortunately, the SAD (Sad American Diet) is ubiquitous, even in other countries now. I think with just education about our bodies' true food needs we could change people's eating habits. There are many other health needs and access to healthy foods that should be addressed, too. Thank you Chuck for being part of the solution.
No, my experience is education doesn't make a difference with most people. I am a nurse. The average nurse is markedly overweight. They know the consequences of their overeating. One of my ex-nurse friends said, "I'm not going to deprive myself of the foods I like to eat" (ice cream & cookies). She is at least 80 pounds overweight.
Yes! We can really see that ignorance whenever obese people share how they try to eat healthy. It rarely is actually nutritious and in the right diversity and balance. Obese Americans grew up not understanding portions or what healthy regular meals and snacks are. The vast majority don’t know how to cook or shop well. They rely on take-out and quick solutions to hunger and cravings. To me, they always seem utterly lost!
@@annemccarron2281Who says nurses know how to cook or shop well? Knowing something about the Mediterranean Diet (or similar guide) and actually putting it into action are 2 different things. I think your nurse friend proved that when she assumed she would have to ‘give up’ ice cream and cookies entirely to lose 80 pounds. She wouldn’t (unless - plot twist - her body can no longer tolerate those things). I don’t think all nurses have the time or energy to really act in an educated way about their health. So the existence of overweight nurses doesn’t prove obesity a ‘disease’ beyond control or prevention… through training and nutrition education. If your friend took 10 minutes to eat a fiberous apple and nuts or a side-salad with a bit of chicken just before the cup of fro-yo or ice cream, I think she would be shedding those pounds!
Is it really worth prescribing a medicine to 80% of patients when who knows how many of them will suffer from serious side effects that are just coming to light, such as stomach paralysis, feelings of suicide and extreme depression, thyroid, cancer, pancreatis, chronic vomiting, did I miss any?
Intermittent fasting is an under utilized tool for fighting obesity.
Not eating 3 or 4 hours before bed time will allow time for your last meal to digest before bed.
This will improve the quality of your sleep and reduce the need and urge to wake up and go to the bathroom in the middle of the night.
It allows your body time to focus on healing and repair during the night rather than focusing on digesting food.
It also extends your fasting time by adding the hours before sleeping to your hours asleep.
The longer you go without eating will allow your body to shift from burning glucose to burning your stored fat.
You will wake up in the morning a fat burning machine.
@@peter5.056 It is largely irrelevant. What counts is energy content. Intermittent fasting is not wrong. In fact, we all do it since none of us eats while we are sleeping. Fasting for longer periods may or may not be doable for individuals, but again, it is not wrong. The best-known example of that is Angus Barbieri who fasted for more than a whole year and went on to live a life while keeping the weight off although it should be added that he died relatively young (no official cause of death is known). That said, there are very good reasons to frown upon that. Fasting for longer period is not a benign procedure and it is risky. It should be done under strict medical supervision, and even then there is the potential for mishaps.
@@peter5.056 Actually I said that what you typed is largely irrelevant, and I said why: "what counts is energy content".
It does not matter much if at all what the source of that energy is, starch or fat or even protein. Ingesting too much energy is what will undo weight loss, the rest is at most a skirmish in the margin with no effect on the end result.
That's insanity! "How can I keep my old lifestyle and still lose weight?"...What! That's insanity!!! Your old lifestyle is what made you overweight! Duh! The next time someone makes that dumb statement, the Dr should stand them in front of a full length mirror and say look at yourself! This is what your old lifestyle looks like. Now get out of my office and come back when you're ready for change! Doing the same thing expecting a different result is insanity!
My favorite channel 💗
'Diet and body mass index in 38 000 EPIC-Oxford meat-eaters, fish-eaters, vegetarians and vegans
..
International Journal of Obesity volume 27, pages 728-734 (2003)
..
Fish-eaters, vegetarians and especially vegans had lower BMI than meat-eaters. Differences in macronutrient intakes accounted for about half the difference in mean BMI between vegans and meat-eaters. High protein and low fibre intakes were the factors most strongly associated with increasing BMI. ...'
No money is made if everyone is healthy and well!
Exactly, the US doesn’t have a healthcare system, we have a profit-driven illness treatment system.
It's very sad that people don't understand that certain foods are drugs. They would never do crack but those cookies are crack.
Cookies were the first thing I gave up long before I became plant based! They were loaded with calories and I had to eat the whole box. I knew that was wrong. 😂
Dear dr benard,I have been following you for a while,but the veggie diet (menopause) with little fat and soy ,does not help me very much from my hypoglycemia,I try to eat more fat and proteins (vegetable),to feel better,and to stay less in the sugar dipwhat is that right way to feel better?gr sigrid
Doctor's have to commit to helping patients combat this. People never were this way until recently, last 30 years. Stop talking about them and help them. Thats terrible 😮
Obesity has always existed, at least in societies that were not hunter-gatherers.
Thank you.❤
If fresh good pbf's would be cheaper than what is accessible to people. What do the medications do? Sometime the meds cause other problems, I guess short term they could help but I'm not for using meds. I would think that the food choices need to change as long term they will not be doing themselves any favors in eating the same ways that got them into their position. Better choices need to be made
I agree completely. While overweight and obesity are the result of unfortunate choices, those choices are not always voluntary. It is why I tend to revolt when a "lifestyle physician" recommends kale, for example. 2000 kcal of potato chips cost about 5 dollars, while 2000 kcal of kale cost about 50 dollars and that is not even counting the overhead in shopping, storing, preparing and cleaning up. That makes for a rather expensive lifestyle that most people cannot afford, and the people who can afford it the least tend to be the people who need it the most.
What we should do is reduce the price of healthful foods by an order of magnitude and follow that by an increase of the price of unnecessary foods by an order of magnitude. That would give everybody a fair shot at a better diet.
Good afternoon I would like to lose weight but just can't
Yes, you can. You have to find a way of eating that reduces hunger to tolerable levels or better and once you have that, you just have to use your willpower, while taking into account that you cannot merely follow a diet for a while. Weight loss is an endeavour that is limited in time, weight maintenance is for the rest of your life thereafter.
Do your research. Following a vegan diet and filling up on veggies, beans, fruits, and healthy foods will cause you to lose weight naturally. Take control. Stop eating crappy food. If you stop eating sugar and refined foods, you won't believe how wonderful an orange tastes!
Try Dr. John McDougal's free program on his website and there are also free recipes on his website. After 2 weeks I started to love the food. I eat until I'm full and my weight is going down by 2 pounds each week. I am finally free of extreme obesity. Chef AJ's Caloric Density RUclips video explains how it works. Most importantly I am free from food cravings. Certain foods used to shout my name, now it is an infrequent whisper. It's all free of charge. Give it a try, nothing to lose. 🤗
No one should ever say anything about someone else's appearance, ugh! No one who's overweight doesn't know it
I disagree. It is a medical doctor's duty to inform her/his/its patient that there is a weight problem. Overweight, including obesity, is a medically adverse condition and an ethical doctor should try to address it with the patient. In that sense, overweight is no different from, say, skin cancer.
Don’t tell people with a heart condition they have a heart condition? because they already know ,what next, Don’t tell, smokers to quit? Smoking shaming?💪🏻💪🏻💪🏻
I agree that it’s pointless to simply point out someone’s weight. But there are severe medical consequences to being overweight or obese, including early death. So those need to be addressed with the patient and it needs to be made clear that they are a *direct* consequence of being overweight.
But the discussion should not be all doom and gloom. Solutions like increasing fruit and vegetable consumption can go a long way to help weight reduction. While going vegan would be best, one’s diet doesn’t need to be all or nothing. And even small steps, especially those that increase fiber intake, are helpful and healthier.
Fiber feeds the good bacteria in our gut. Those bacteria then produce short chain fatty acids. When the cells lining our gut ingest those fatty acids they produce GLP-1 inhibitors, similar to the action of Ozempic, but without the side affects (or high cost). Fiber makes you feel full when its bulk fills your stomach and then it reduces your appetite a second time when those bacterially produced short chain fatty acids are absorbed in your gut.
@@broddr You make a good point . I am not entirely unbiased since I make it myself, but that does not make it invalid. As others have pointed out, obesity is a perfectly normal reaction to overfeeding. However, that does not make it a benign condition. Dying is also a perfectly normal thing, that does not mean we don't do our best to fight it.
When I went to med school at the end of the 70s, we were told from the very first year that overweight was the prime driver behind a slew of diseases.
If there is money to pay for high-cost drugs to lose weight, there is, or should be, money for good nutrition. Unfortunately, that is not how things are right now, not in theory and not in practice. As a hypothetical example that uses the darlings of lifestyle medicine: 2000 kcal (the average used on food labels) in potato chips costs a bit less than 5 dollars. 2000 kcal in kale, costs around 50 dollars and 2000 kcal in asparagus costs about 175 dollars (today's price at Loblaws in Toronto). That does not include the hours needed for shopping, the cost of refrigeration, and the time needed for preparing, cooking, and clean-up. It can be done more cheaply but those are rarely, if ever, mentioned and even those will be more expensive. In Toronto, today (20230803), the cheapest I could find was green cabbage (on sale), 14 dollars for 2000 kcal. In these race-to-the-bottom times where greedy companies pay their workers less and less those numbers are ridiculously hypothetical. There are cheaper ways, but they use products (white potatoes, for example) that are not generally recommended and that are only satiating if eaten in quantities that far exceed energy requirements and will therefore contribute to obesity, not solve it.
I oppose "fat and sugar taxes" because those punish the people who don't have a choice. What should be done is to change the market situation so that healthful food becomes ridiculously cheap, i.e. affordable for everyone, while unnecessary foods become ridiculously expensive. People will, begrudgingly, switch to a more healthful diet and be better off for it. Those who are able to afford the junk, will also be able to afford treatment, so they would still have more choices than others, and their obesity would be a genuine choice, not like it is right now.
@@RiDankulous Congratulations with your improvement. Keep it up.
I have to admit that this discussion really puzzles me. Patients are complaining about doctors telling them they need to lose weight, they refuse to step on scales because it is demeaning...
In that case, why go to a doctor at all? People can just use a ouija board and return to the dark ages.
Pain can be a very helpful stimulant for change. Death & disease should be enough to dissuade most people from destructive habits. So, perhaps we need to start getting a bit tougher and more real with people to make an associative connection in their brains. These foods lead to disease & death versus these foods which lead to health & life. We need to stop treating people nicely - as this has certainly not worked, and hit them with hard truth.
IDK. They just say that you are going to die anyway. And they would rather eat steak and shake and chips rather than have clean arteries and live a few more years. It's a hard sell! So I try very hard to keep my mouth shut now, offer my folks some plant based foods when I cook or go out. It is amazing that some of them are asking for and eating my vegan stuff sometimes. 😅
@@melyndaduh3501 I gave a lecture some months ago about veganism and spirituality. Sure people shook their heads 'yes', but the real difference was when they tasted the Vegan food I brought, they regretted eating the meat based diet which is inferior to the food I brought. Keep up your good work my friend, we are on the light, bright and right side.
TOO MANY PILLS! If it's about food (WFPB), which I think it is, then WHY is he passing medication to 80% of his patients????????
Grow up.
I believe that with any disease, there is a very small percentage of misfortunate people with a physiological disorder causing a disease. This disorder is totally out of their control and may cause these people to be sick. That being said, for the rest of us, I think that it's time we all grow up. When we were kids and we wanted that extra candy bar, or wanted to stay up late, or wanted our sibling's toy, mother was always there to say, "no, stop that". We are now older, and mother doesn't tell us what to do anymore. Most diseases are the result of want and excess - too much salt, too much sugar, too much fat, too much processed food, too much lack of exercise, to much lack of self discipline, etc. We look for reasons or labels outside ourselves to justify our actions - I had a hard day, I am depressed, one more of these won't hurt, etc. Living is one big surprise, and is full of great times and not so great times. Please, let us all stop calling many diseases, diseases, and label them what the actually are - CHOICES. I know that to some, what I say may sound very calloused, contentious and mean - this is not my intent. I also suffer from 'choice' but have been slowly curing myself over many years - everyday I get closer and closer to remission. At times, the choice we make may be a very difficult one but it is still a choice, and most often, it is your choice - it is not your disease. I believe that once we start taking responsibility for our actions, we then begin shedding our chains, and begin living the healthy lives that we were all meant to live. Peace and love always.
i agree but you could think if it like this: diseases are choices.
The problem is that our processed food industry, fast food corporations, and industrialized agriculture make it all too easy to make the wrong choice. There aren’t any drive-throughs serving steamed broccoli over rice with an apple for dessert.
@@broddr Yeah, that's right. The majority of people want this food - they've been sensitized and brainwashed into eating very abundant unhealthy fast food.. This is why I rarely eat out and when I do, I eat only from one place - they make a mean black bean pita. Supply and demand is working its usual magic... sell the people what they want. Too bad supply and demand is also working its magic in the medical system. More doctors, more patients, more beds, more meds, more suffering, more money, more chronic disease... The answer is so simple that it's simple - people need to wake up and start demanding healthier fast food choices by passively letting their wallets do the talking. It's really only a very small step for each of us to make, but it will produce such a monumental positive change.
Fifty years ago I never saw obese people. Growing up, there were no fat kids in school, NONE, and I attended big-city schools. This is a new thing, and it is NOT a "disease". Good grief, stop making everyone a victim. People are accountable for their food choices!!
Do you say the same about sex addicts? Drug addicts? Alcoholics?
Nutritional guidelines working...
@@jbach1841 Of course. A real "disease" can't be cured by stopping a given behavior. It's all about choices (said the daughter of alcoholic parents who is NOT alcoholic...).
@@annarebecca3384Beware, your children will have a greater susceptibility to alcoholism and other addictions. You may even be a "dry drunk".
Not entirely. A good argument can be made for calling obesity a disease, but what you call it is irrelevant. It is a condition that is caused by ingesting more energy food than you need. That has been known for a very long time. Here an example from 1943. That is not fifty years ago, but 80 years ago: ruclips.net/video/DDXmqSQwhyU/видео.html
Does a person need these drugs for rest of their lives?
Listen to the video carefully. The answer is in there, but in more general terms: you have two choices: continue to take the medications forever (and there are dangers attached to that) or change your diet forever. That latter is the more prudent and better choice.
Obesity is a personal choice.
You obviously are speaking from years of experience. Good for you. Site all of your papers you have written and or done work on. I would love to read all of your evidence based research. Thanks in advance.
*Cricket sounds*
Radical statement of yours but appreciate your comment though - same as gambling the promoters flood our environments with garbage for their financial gain.
If you had written "Obesity can be a personal choice" you would have been correct. Now you aren't. In addition, the statement is incompatible with the claim of many obese that calling them 'obese' is fat-shaming. If they became obese by choice, they should be happy or perhaps even proud to be called obese. Not many are.
@@kathimiller6289 It could also be an expression of her/his/its personal feelings about her/his/its own obesity. Maybe it really was a personal choice and he/it/she wants to set the record straight.
Three minutes into watching this and I already feel like screaming! Obesity IS NOT a chronic disease; neither is type 2 diabetes. Medicine cures neither condition but lifestyle changes can reverse many conditions caused by poor lifestyle choices. I'm almost 70 years old and over the past few years have lost half my body weight and gone off all my meds.
Doctor - I lost this weight on a LOW CARB HIGH HEALTHY FAT DIET (not a low fat diet!).
If you are telling your patients that their obesity is actually a chronic disease that needs to be treated by surgery and/or meds then how can they be motivated to make/maintain major lifestyle changes?
I suggest that our society has a disease that causes unusual growths to appear on grocery store shelves instead of real food!
Let's regain our health by healthy eating and the pounds will just melt off. This was my experience.
Agree. But obese patients keep Dr Kane in business, as "treating obesity" is his specialty. What a guy!!
@@annarebecca3384 Well, there are plenty of other diseases besides obesity. There's gluttony, stupidly, selfishness, greed, power hunger, pocket lining, and worst of all, allowing big pharma and big food to take control of this country so as to cause these lifestyle problems in the first place and then label every negative result an incurable chronic disease which can only be controlled by surgery and and medication because the average person is so incapable of
learning of how they became so unhealthy and how to regain their health.
It does not matter what the composition of your diet is. The only thing that matters is that you are in an energy deficit.
One way to "motivate" people is to find a way to feed them an energy deficient diet that keeps hunger to tolerable levels or better. Once you have that, it is merely a matter of willpower.
@@peter5.056 I hear these objections often, so let me give you my perspective on this. I should add that I am not necessarily unbiased because I weighed 127 kg at the end of 2012 and am currently hovering around 65 kg with a (very slow) seesawing downward trend.
1. willpower is irrelevant.
I argue it is not irrelevant. If you want to change to a better diet, you have two options. The first is to have yourself incarcerated in a facility where you are not given a choice (and yes, that actually requires willpower as well, unless someone else forced you and made the decision for you). The second is to do it of your own volition. That is willpower. It does not matter that there is an obesigenic environment or not. You simply do what you should be doing and stop doing what you should not be doing. That requires willpower. That is clearly stated in the video.
However, if you can tell me how I did it, without using willpower, please tell me. The way I see it, is that you have given the answer already: "It's a totally unnatural situation, and we simply lack the genetic programming to fight against it without a seriously well thought-out plan of action, and even then it's extremely difficult."
When there are right decisions and wrong decisions, you need to use your brain to make the right one, even when your "feelings" tell you to do otherwise. In other words, you need willpower.
2. "Additionally, it is impossible to define an energy deficit. Attempting to do that (by weighing and measuring food) is sheer madness, and would drive just about everyone to drink."
It is actually extremely simple, and most people have the tool they need: a bathroom scale. If you are losing weight, you are at an energy deficit. If you are gaining weight, you are living at an energy excess.
You are allowed to weigh everything, and it can be (and often is) extremely useful. It is an extra tool.
You mention calorie density. As a European, I understood what it meant, but I did not understand the hooplah around it, until I came to North America. North American food labels usually talk about "cups" and "tablespoons" and the like. European food labels have everything normalised to calories or joules per 100 g. That is, in effect, calorie density. Not only that, it is so much more precise than the North American system.
That said, calorie density is an incomplete gimmick. Total energy is what allows one to gauge the energy content, not the density. 1 g of oil has an average energy availability of 9 kcal. Sugar has an average availability of 4 kcal per gram. However, if you consume 100 g of oil, you get 900 kcal and if you consume 300 g of sugar, you get 1200 kcal. If you only look at energy density, you are getting more energy from the food with the lower energy density in this rather caricatural example.
In other words, the calorie-density way of thinking is the same as the energy-content way of thinking. There is a false dichotomy here. Energy density is -at most- a tool to estimate total energy content.
I would argue that what you are arguing for meals is not wrong, it just needlessly complicates matters, but if it floats the boat for you, I would certainly not try to discourage you from doing it.
@@peter5.056 You could, but it would still be wrong or at least incomplete. As I said in my other reply, 100 g of oil will provide you with approximately 900 kcal and 300 g of sugar will provide you with about 1200 kcal: lower energy density but higher calorie content.
Terrible interview. Chuckles was just interested in the medications. The doctor just was not very responsive to questions that didn’t involve meds.
I’m a little shocked this came from the Physican’s Committee. This is a doctor promoting very dangerous medications to 80% of his patients. IMHO he doesn’t belong here.
🎉😊🎉😊🎉
Sorry you cannot make a bussiness out of medication first approach….what about the patient and the depression they go through when they cannot lose weight
Quack, Quack , Quack!
Food is supposed, to be addictive.
You need it, to survive. 🌿🥗🍋🧂
I am very disappointed in the community comments this post has cultivated, and frankly, I think Chuck adds into it by always questioning "Are we just protecting someone's feelings?" Yeah, heaven forbid we be kind to other people. How about ... we don't know anyone's struggles, and if you're not that person's family and family care physician, MYOB?
The worst thing about the WFPB community is the holier-than-thou, anti-science attitudes it attracts. Looking at you, Anna Rebecca.
When science is presented that eating meat is good for you eating diary is good for you and all the Coconut and Palm oil that’s loaded with saturated fat is good for you. That’s not really science that’s what a lot of people are anti-science about. Its sponsored science. Yes butter is better for you than lard. Is this really an argument ? Thats how they do it though. Switch you from one thing to another. Neither one is good for you, but there is one that is better.💪🏻💪🏻💪🏻
While I wouldn’t offer unwanted advice to a stranger, isn’t it also unkind to ignore the struggles of a friend or coworker? Especially when you have science based evidence that can be _used by anyone_ to ease that struggle.
Being kind means being truthful. Denying that being obese is damaging isn't being kind.
WE HAVE FREE WILL AS TO WHAT WE PUT IN OUR MOUTH. WHEN YOU KNOW BETTER YOU MUST DO BETTER. STOP WITH THE VICTIM MENTALITY. IF YOU ARE DIS AT EASE CHANGE. OWN WHAT YOU CHOOSE. ONLY YOU CAN. YOU MUST LOVE YOURSELF BECAUSE YOU ARE SPECIAL. NO TWO PEOPLE ARE THE SAME. GOD MADE PERFECTION WE STUFFED OURSELVES.
Seed oils. C