Weight-loss drugs aren't a magic bullet. Lifestyle changes are key to lasting health

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Weight-loss drugs aren't a magic bullet. Lifestyle changes are key to lasting health
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A doctor argues that the current focus on fighting obesity with drugs like Ozempic ignores the bigger picture: We need a medical system and society that support healthy life habits.

." The before-and-after pictures are inspiring. People who have struggled for decades to shed pounds are finally finding an effective strategy.

For primary care doctors like me, who have counseled thousands of patients — often unsuccessfully — about their weight, this news is welcome. For many of those living with obesity, these medicines can feel like a game changer. He is seeing positive results among his patients but recognizes cost as a significant barrier."Treating everyone with obesity in the U.S. with medications will bankrupt the country and still not cultivate the type of health and vitality we actually want," he said.

And while we should embrace a culture of acceptance of all body types, we also can't ignore the fact that rising rates of obesity are part of a growing health crisis.. This burgeoning field focuses on prevention and treatment of chronic disease through adoption of healthy habits including a minimally processed diet rich in vegetables, fruits and whole grains; regular physical activity; restorative sleep; stress management; positive social connection; and avoidance of harmful substances.

Lifestyle medicine and the new weight-loss medications are not mutually exclusive. In fact, the package inserts explicitly state these drugs should be prescribed in combination with increased physical activity and a reduced-calorie diet. Nor could I refer patients to supportive colleagues, such as dieticians, behavioral health counselors and health coaches — my clinic didn't have them.

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