Why Is Obesity so Challenging?
"Why is obesity, per se, so challenging and frustrating to address in clinical practice?
To answer that, it's important to establish what we know about the biology and behaviors associated with obesity, and to sort the myths from the science.
Obesity conforms to the first law of thermodynamics—that is, it results from the imbalance between calories in and calories out. Although that simple equation remains true, we now recognize the complexity of appetite regulation, physical activity patterns, eating behaviors, and the downstream consequences associated with obesity. Therefore, managing a patient with obesity requires a personalized approach that involves many permutations of the traditional 'eat less, exercise more' adage."
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