masvida

By Dr. Madelyn Fernstrom In a long awaited move, the FDA approved a “new” weight loss drug, Qnexa, this past July 18. Renaming it Qsymia (cue-sim-ee-a), it’s actually a lower-dose combination of two drugs already on the market. Not for casual weight loss, or those “last ten pounds,” Qsymia is approved for use in adults who are obese (BMI of 30+), or adults who are overweight (BMI 27+) and have at least one major illness, like high blood pressure, sleep apnea, or diabetes. This drug, intended for use along with a reduced calorie diet and increased physical activity, is a combination of an appetite suppressant (phentermine) and an anti-seizure medicine (topiramate), which has weight loss as a “side effect” of epilepsy treatment. While weight loss after one year of Qsymia — plus lifestyle changes — produced an average weight loss of 6 to 9 percent (an impressive outcome), many people lost a lot more, but some lost much less. There’s no guarantee of weight loss, and Qsymia is far from a “m...

There’s an old joke that goes something like this: “If you want to feel thinner, hang around with heavier people.” Maybe that’s not so funny anymore. With two-thirds of the U.S. population overweight or obese, the “look” of Americans has changed. We’re sizing ourselves up not by personal health, but by how we look compared to others. In discussing their weight, people often tell me they’re a lot slimmer than most of the people they know — as if this removes personal responsibility for their own weight concerns. It’s a defensive posture, implying things could be a lot worse. While often true, it doesn’t make the individual’s weight less important as a personal health risk. And that view is not limited only to body size perception. As a nation, we’ve changed our view of what a single serving looks like and what “family size” servings mean. What was perfectly acceptable as a single serving a decade or two ago, now looks puny in comparison to the “new” scale of serving size. And a family s...

By Dr. Madelyn Fernstrom Can you actually catch obesity from someone else, like a cold? No, of course not! What I mean by obesity being contagious is the presence of a giant social component to lifestyle habits that strongly contributes to obesity. Scientific studies continue to document that both health-promoting and health-damaging habits are fostered by our social connections. And when it comes to lifestyle behaviors like eating and physical activity, most of us are strongly influenced by what our friends and family are doing. The good news is that you can learn to recognize what I call “lifestyle sabotage” and choose another path for yourself. I’d like to share the story told by one of my patients. She had lost about 30 pounds and had a strong commitment to making lifestyle changes. She came to see me one day, very forlorn, after meeting some friends at a restaurant the evening before. She chose vegetable soup to start. While she opted out from their usual order of a large ...