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Exercise & Fitness

Obesity is complicated — and so is treating it

May 30, 2018

About the Author

photo of Monique Tello, MD, MPH

Monique Tello, MD, MPH, Contributor

Dr. Monique Tello is a practicing physician at Massachusetts General Hospital, director of research and academic affairs for the MGH DGM Healthy Lifestyle Program, clinical instructor at Harvard Medical School, and author of the evidence-based lifestyle … See Full Bio
View all posts by Monique Tello, MD, MPH


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July 25, 2018

Dr. Monique, yeah “Obesity is complicated and so is treating”. But, it’s the most complicated problem in today’s world. There are more and more numbers are increasing and so the treatment should be very effective to avoid this problem.
In this regard, Jain Ayurveda comes up with “Move Obesity”, the best slimming weight loss capsules & solution to get the best results.

Monique Tello, MD, MPH
June 4, 2018

Congratulations, Scott, on your success. Surgery plus diet and lifestyle change and possibly medications improve the chances of weight loss and weight loss maintenance. Stay in touch with your team and followup as recommended, so that the weight stays off for life.

June 2, 2018

I tried to post a comment regarding research that indicates obesity has been linked to exposure to endocrine disruptors. The comment wasn’t posted. I’m linking to another article and hope the comment is posted.

The above article as well as others, indicates that decreased (or no) exposure to endocrine disruptors (such as pthalates) might decrease obesity rates too.

Allen F Browne, M.D.
June 1, 2018


Nice summary of Fatima’s presentation of some modern knowledge about the disease of obesity. For most, it is the energy management system gone awry. And for most, advance tools and a multidisciplinary individualized approach is necessary.

Keep up the good work. Lack of education and thus knowledge leads to bias and stigma from the public, healthcare professionals, and the patients.

Allen F. Browne, M.D., Diplomate ABOM

May 31, 2018

Omitted from this article is mention of the effects of exposure on development of obesity due to exposure to a variety of human-made chemical compounds.

“The statement builds upon the Society’s groundbreaking 2009 report, which examined the state of scientific evidence on endocrine-disrupting chemicals (EDCs) and the risks posed to human health. In the ensuing years, additional research has found that exposure is associated with increased risk of developing diabetes and obesity. Mounting evidence also indicates EDC exposure is connected to infertility, hormone-related cancers, neurological issues and other disorders.

EDCs contribute to health problems by mimicking, blocking or otherwise interfering with the body’s natural hormones. By hijacking the body’s chemical messengers, EDCs can alter the way cells develop and grow.” and

So why isn’t this blog recommending avoidance of these chemical compounds as part of treatment plans?

May 31, 2018

Dr. Tello. Thank you for this post. I couldn’t agree with you more as to the complexity of treating the disease of obesity. I fought it for 50 years, finally having bariatric surgery last December to help me achieve lasting weight loss and weight maintenance. If only there was really a diet and medication that had the same long-term efficacy as weight loss surgery. While treating obesity indeed requires a multi-disciplinary approach for life, I do wish that bariatric surgery was offered further up the treatment paradigm–especially from thought leaders themselves. That only 1% of eligible patients actually have bariatric surgery in the United States is quite frankly a huge public health failure. Of course this is just the opinion of someone who spent the majority of his adult life obese and who has just lost 110 pounds in the last 5 months!

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