Dr. Robert Lustig has a new book out called “Fat Chance” that addresses the huge problems caused by excessive consumption of sugar, which is a real problem in this country. Watch this video and you’ll realize that you need to be very cognizant of how much sugar you are consuming. This is particularly important if you’re a parent.

The biggest issue involves hidden sugar in processed foods, like salad dressing, hamburger buns, BBQ sauce etc. It’s a labeling issue and an issue about government subsidies for the sugar and corn industries.

The FDA has approved Qsymia for use today by those who are obese, with a BMI of 30 or more, or for those who have a BMI of 27 with weight related illness.

The history of weight loss pills has been fraught with law suits due to life threatening side affects and prescription abuse by physicians and patients.

The major problem with weight loss drugs is that they don’t address the underlying causes of weight gain such as the psychological component of over eating and the food itself.

There is wide ranging debate regarding the way certain processed and scientifically engineered foodstuffs react with human physiology and metabolism.

Until we confront these two major issues surrounding food it will be difficult to solve America’s obesity epidemic with a pill.

“Given the literally insatiable appetite of doctors and patients for new drugs as a quick fix for obesity, there is every reason to believe that, if approved, a combination like this, will be used by millions, over long periods of time far beyond its labeling indications. Because of a long list of safety reasons, this drug should not be approved,” the group’s Dr. Sidney Wolfe told the FDA advisory panel in 2010.
Vivus, the company that makes Qsymia, hopes it will be a safer successor to the notorious and now banned “fen-phen” diet cocktail. Fen-phen combined fenfluramine and phentermine — one of the two drugs in Qsymia — but it damaged the heart in some cases and caused a condition in some patients called pulmonary hypertension, which causes fluid to build up in the chest, bringing a feeling of breathlessness.

The U.S. Preventive Services Task Force (USPSTF) has suggested that patients be screened for obesity by physicians.

The panel has suggested measuring the BMI ( Body Mass Index ) of adult patients.

A BMI of 30 or more would indicate that a patient is obese while a BMI of 25 or less is normal.

For patients whose BMI is 30 or higher, the task force advises physicians to refer them to weight-loss programs that use multicomponent behavioral interventions — in other words, those that combine nutritional counseling with exercise and support groups. In reviewing current studies on such programs, the government panel found that on average, they helped participants lose up to 11 lbs. over a year, or 4% of their starting weight. Even such seemingly modest reductions in initial weight can significantly improve health for obese people.

Overall, the task force found that the best weight-loss programs include 12 to 26 sessions of behavioral counseling during the first year; help patients self-monitor their eating and exercise, using food diaries or a pedometer, for instance; focus on setting realistic weight-loss goals; and help patients understand what may be preventing them from meeting those goals.

While it is projected that by 2030 forty percent of American adults will be overweight or obese, doctors are not trained to counsel patients on matters of nutrition or weight management.

Doctors who are struggling with weight issues of their own have even greater difficulty addressing weight with their patients.

It has been 13 years since the FDA has approved a new drug for weight loss.

Belviq, the Arena Pharmaceuticals drug which also goes by the generic name lorcaserin, is one of three new potential weight-loss treatments to be approved.

The drug works by activating a receptor in the brain that may help a person eat less and feel full after eating smaller amounts of food.
It is approved for use in obese adults with a body mass index or BMI of 30 or greater and in overweight adults with a BMI of 27 or greater if they have at least one weight-related condition such as high blood pressure, type 2 diabetes or high cholesterol. For example, a 5-foot-7 woman who weighed 192 pounds would have a BMI of 30.

Patients who do not lose 5 percent of their body weight within 12 weeks of taking the pill will be advised to discontinue use of the drug.

It is important that patients achieve “clinically meaningful weight loss” as cardiovascular risks including heart attack and stroke may be a consideration.

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Obesity takes a huge financial toll on the nation.

Chronic illnesses caused by obesity are crippling our healthcare system.

How can we turn this around?

This is a small victory for consumers who, finally aware of the dangers of high fructose corn syrup, will continue to be able to identify it in the products they buy.

Michael M. Landa, director of the Center for Food Safety and Applied Nutrition at the F.D.A., denied the petition, saying that the term “sugar” is used only for food “that is solid, dried and crystallized.”

“HFCS is an aqueous solution sweetener derived from corn after enzymatic hydrolysis of cornstarch, followed by enzymatic conversion of glucose (dextrose) to fructose,” the letter stated. “Thus, the use of the term ‘sugar’ to describe HFCS, a product that is a syrup, would not accurately identify or describe the basic nature of the food or its characterizing properties.”

The Corn Refiners Association is afraid that consumers will avoid the product, which has received a bad reputation, under the pretext of “false information”, namely that corn syrup is natural and is the same as sugar.

The fact is that it is NOT natural , it is manufactured in a lab and can harm to people who can not properly metabolize the ingredient.

And further, to argue that HFCS is the same as sugar only calls into question the efficacy of sugar in the human diet.

There are many who would postulate that there already exists an overabundance of sugar which is causing obesity and Type 2 diabetes in epidemic proportions.

It is estimated in a recent study that 42 percent of Americans are predicted to over weight or obese by 2030.

The CDC’s Weight of the Nation conference released it’s findings and will be highlighted in a four-part HBO documentary airing next week.

Cheap and easily available calorie dense food and sedentary lifestyles are largely to blame.

The stress on the health care system could be 550 billion dollars in additional medical expenditures.

Finkelstein and co-authors estimate that 11% of the population will be severely obese by 2030. Severe obesity is defined as a body mass index over 40 or being roughly 100 pounds overweight. Obese people have shorter life expectancies and greater lifetime medical costs, “suggesting that future healthcare costs may continue to increase even if obesity prevalence levels off,” wrote the authors.

“Those individuals have much greater risk of early mortality, diabetes, heart disease,” said Finkelstein. “They’re much, much more expensive and they’re on the rise, partly because 50 years ago, it was really, really hard to weigh that much. You’d have to eat all the time.”

Dr. Mark Hyman, author of “The Sugar Solution: The Ultra Healthy Program for Losing Weight, Preventing Disease and Feeling Great Now!”, points out that 2 million kids are now morbidly obese.

Diabetes and pre-diabetes are just around the corner and the treatments are failing.

Hyman noted the the average child in the U.S. has 34 teaspoons of sugar a day. He said, “The food industry have hijacked our brain chemistry, our taste buds, our homes, our kitchens, our schools, and we need to take them back. We need to do things like have soda taxes, change food marketing practices to kids because this is not a problem solved in the doctor’s office.”

Getting a good night’s sleep may be more than just refreshing.

Obesity genes that respond to lifestyle stimuli when you are fatigued get turned off when you get adequate sleep.

Being well rested helps your efforts to make healthy choices have a real impact on your weight.

“The less you sleep, the more important genetic factors are to how much you weigh,” says lead author Nathaniel F. Watson, M.D., co-director of the University of Washington Medicine Sleep Center, in Seattle. “The longer you sleep, the greater the influence of environmental factors like meal composition and timing.”
Previous research has found that too little sleep is associated with a higher BMI, but many of those studies haven’t been able to entirely rule out the possibility that genes, or complicating factors such as sleep disorders, are partly responsible for the link.

Kids are going to have to make serious calorie cuts to avoid obesity as they get older.

If current trends continue, childhood obesity will transition into adult obesity.

In setting the Healthy People 2020 goals, the feds were more pragmatic. They hope to reduce the childhood obesity rate by 10 percent of the 2005-2008 levels, to 14.6 percent of children and teens. Getting there would require kids to cut 23 calories a day, on average. Teens, who are more likely to be obese than young children, would have to cut more.

The good news is that obesity seems to be leveling off but even if the obesity epidemic has peaked, children are heavier than they have ever been in human history.