How To Manage Obesity

Published 2023-07-08
Having a skilled primary care clinician will go a long way to maintaining your health and wellness. Join Dr. Diana Thiara as she explores weight loss and healthy living. From understanding the basics of BMI to the complexities of various weight loss methods, Dr. Thiara's insights will guide you through a comprehensive journey. Whether you're looking to shed some pounds, maintain a healthy lifestyle, or simply broaden your knowledge, her expertise covers dietary choices, surgical options, exercise routines, and even mental well-being. You'll also learn about personalized weight loss plans, the impact of genetics on weight, and how to make sustainable lifestyle changes. Drawing on her extensive experience and backed by the latest scientific research, Dr. Thiara offers a fresh and approachable perspective on weight management. Recorded on 03/22/2023. [7/2023] [Show ID: 38795]

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All Comments (20)
  • @koenigxolo
    It would be interesting to include the psychology of lifestyle changes.
  • @andinianty
    As one who's struggling with obesity for about 22 years, I've tried many weight loss methods lifestyle, exercise, calorie reduction, low carb,low fat and so on... none produced long lasting results. The temptation is too high and once you give in...like an addict I can't stop . My last hope is the surgery, and till now very satisfied with results , it changed my life ,I feel normal for the first time 😊
  • Obesity I know must be eliminated and/or controlled through the following changes in habits: 1. Eliminate the intake of sugar and fructose. This includes added sugar in processed foods. 2. Eliminate the consumption of refined carbohydrates (wheat flour, bread, rice, etc.) 3. Consume healthy fats. 4. Eat real (natural) foods. 5. Carry out intermittent fasting controlled by a specialist nutritionist, endocrinologist and cardiologist. 6. Do daily exercise routines (walks or other exercises) 7. Control blood sugar, glycerin, triglycerides and cholesterol. Check Glycosylated Hemoglobin (H1cb).
  • @dreeem_sa
    there is no calorie-free fiber but in very small proportions This is what I think and I may be wrong
  • This was very informative and helpful for me. I have a better understanding of what my lifestyle change must include; which is a nutritious diet and a reduction of calories. I clearly understand what is needed to be successful with the initial weight loss. Plus, I have a definitive plan for the maintenence of the initial weight loss over time. I have experienced a couple weight loss, twice. But, I could not maintain it; over a long period of time. Now, I know exactly why. Thank you for this video. The timing was perfect. Peace and Blessings
  • Question, I have been on 1200cal for over a year, lost 72lb. My metabolism is slowing, I can feel it and if i go to 1700 cal, i gain. Surely the human body has an adaptation that would kick in and allow a person to return to, at the least, nutritionally sound eating habits? Nature would not have us simply continue cutting and cutting in order to maintain, until we simply died of malnutrition? If you stay on maintenance long enough, can you add a few calories? That seems to me to be what these diet coaches should concentrate on, maintenance, but then, that would cut out the meds and surguries, and eventually the coaches i guess
  • @L.Spencer
    I've been on an actual diet once, done by using a Curves meal plan from a book. It was pretty hard, did lose some weight, mostly learned how little one needs to eat to lose weight. The times I've lost weight has been unintentionally during extreme times of stress, once when I had an anal fissure and everything I ate would end up hurting me. Stress and anxiety make my appetite disappear. I think I have sugar addiction. I've started some good habits, but need to work on really cutting out sugar. Thanks for this video, it gives a great overview. But it also makes me think I'll never lose weight and keep it off.
  • Your tummy is a organ it expands & shrinks down according to what & how much we feed it & how much we move around, if we don't move around our food sits on us , y i move around, 🚲
  • @ryarya3291
    What can I do if I cant digest fibers and whole grains? Thx
  • Great talk. Lots of useful nuggets. On that score, here are the most important: 1. There is no way around lifestyle change for weight maintenance and weight loss. 2. Although the good doctor hid behind a bit of scientific verbiage, the result is damning: the people chosen for the various weight loss drug studies are NOT representative of the type of people who will ultimately be taking the weight loss drugs (there's a glaring self-selection problem in the study designs to the trained bio-statistical eye). That said, the various weight loss drugs do NOT work as expected or intended for the vast majority of the people taking them. Stated another way, the people who end up taking them do not take them under the exact same conditions/protocols as the clinical study participants, and therefore, people in the general public rarely see similar results as the participants in the clinical studies. Big hint: roughly half the weight loss (in percentage terms) seen on the drugs in participants in the trial came from the drug, and the other half came from lifestyle changes. Thus, we are led back to the first conclusion: there's no way around lifestyle changes for weight maintenance and weight loss. All that said, I cannot say that the drugs don't work. What I can say is that for most people taking them, it comes as no surprise to me that the drugs rarely work in the manner expected. Sure, the drugs promote short-term weight loss. Problem is, the weight loss ceases when you come off the drugs and it is hard to sustain use of the drugs (and the weight loss achieved as a result). And this is BEFORE you consider the side effects while on the drug (which often forces people to stop taking them) and the as-yet-unknown (or perhaps better put, UNSTATED) deleterious effects the drugs may well have on other aspects of your health; every single other weight loss drug has had deleterious health effects, so why should we expect these new weight loss drugs to be any different?. The bottom line for me personally is this: I will be taking a hard pass on the drugs and the surgeries, and I will stick to a program of focused and determined permanent lifestyle change that is simple, safe and sustainable. My approach may well take a lot longer, and will definitely not produce outstanding results in the short term, but I won't be putting my health at risk as a result.
  • @tforan4093
    Is it true that an individual's "set point" will make it nearly impossible to keep weight off over the long term?
  • The main objection I have to the BMI scale is the fact that it doesn't apply to everybody and they want to apply it to everybody across the board. For example, I am 5 ft 6 in tall I weigh 155 lb which makes me in the overweight BMI category however, I am grossly underweight from the waist of my ribs show, I am sending to the point of of being painful if I'm even touched anywhere in the rib cage area anywhere in the stomach area anywhere on my back and that is due to over dieting trying to get below the recommended BMI. Where the problem comes in is that I carry all of my weight in my thighs and on my legs between the area of my groin and my knees I have considerable cussing on my knees and I have considerable what they used to call back in the 1970s, saddlebags. My legs are puffy, they swell and they have a I guess what people call A Mattress E look to them, back in the 70s when I was a kid they used to call it cellulite but I guess it is not cellulite and I am able to lose weight everywhere except there. Therefore I'm still considered overweight, a few months ago I was considered morbidly obese even though I am technically underweight everywhere except that one section of each of my legs! So the BMI should not apply in that manner it's like trying to put everybody in a box, trying to categorize everybody and make everybody in a cute little package it doesn't work that way😢
  • @billyhw5492
    "Dieting is scientifically proven to cause permanent damage. Now let me introduce you to the gold standard of weight management: Calorie Restriction!"
  • 7:53 "Fibre and water don't have calories." While that is true for water, it is false for fibre. Fibre does have calories, and it is estimated at 2 - 2.5 kcal per gramme on average. That is not some high-level secret. It is distressing to see that the myth of calorie-free fibre continues to be propagated at university level.
  • @billyhw5492
    "Science shows that diet and exercise damages you permanently and you'll just end up gaining more weight than you started with. So what's the solution? Let's start with reducing your calories by 500 each day so you can lose 1 lbs per week!"
  • $1400.00's for a month's for medication that might help you lose a little more weight providing you change your lifestyle. Just change your lifestyle and save yourself $1400.00's a month, whilst still losing weight! I wouldn't touch those drugs if they were free!