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Decoding Obesity

Decoding Obesity

Author: Avishkar Sabharwal, M.D., Dipl. ABOM

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The biology of obesity is complex. The traditional practice of cutting calories and increasing expenditure, in all its simplicity, gives the illusion of being the obvious approach. It surely may work in the short term, but usually falters in the long run. As we gain new insights and develop new empirics, we move a step closer to cracking this code.

The Decoding Obesity podcast will help you develop a deeper understanding of this disease, develop a healthy relationship with nutrition, promote self-care, and emote a new confidence of ”Yes, I can do it!”

Disclaimer: Information provided on this podcast is for educational purposes only and does not constitute/substitute medical advice. Consult your health care professional prior to trying any of the modalities mentioned here.
101 Episodes
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Are you looking to add more fitness and exercise into your routine and understand the barriers and challenges you might face despite suffering from obesity? In this episode, we discuss a recent study titled Physical Activity Motives, Barriers, and Preferences in People with Obesity: A Systematic Review.   P.S. I will be taking a short break from podcasting to take care of some personal issues. I plan to return soon. The podcast will continue with a recap of older episodes.
Last year, I had Sean Mulroney on the show, and he shared his story about how he lost over 100 pounds and got started with his personal trainer. So I thought it might be a good idea to get one of his personal trainers on the show to get her perspective on how she helped Sean and what were the challenges that she faced while training Sean.  Jamie Gilliam is an MS in exercise science. She has worked very closely with Sean and personally trained him physically to become more physically active.
Exercise is essential for our overall health. But often our body puts limitations on how much exercise we can perform and what exercises we can perform. This is especially true for people with a larger body size. Join me as I discuss this very topic with Michael Johnson. He has been a clinical exercise physiologist and currently works in a weight management medical facility that takes a multidisciplinary approach to weight loss. 
Exercise is an essential part of overall health but it is also important for obesity. We had Jessica Callear on the previous episode talk about how to increase physical activity in children. We've often seen ads for gyms and other exercise programs promising the moon with all the testimonials to back them up. But what is the truth? Today, I’m happy to welcome Jessica back to the show. Together, we take a deeper look into exercise and physical activity as it pertains to obesity.
Physical activity is one of the best ways you can keep your kids active and healthy. Given how much time kids spend in school and technology, such as video games and TV, getting them to exercise after school has become a challenge for most parents. But, hey! No more worries now! With a few tricks of the trade from Jessica Callear — a certified exercise physiologist, nutritionist, and health coach with over 10 years of clinical management experience — you will be able to increase physical activity in your kids!
I'm starting a new segment on this podcast because I wanted to do something different. I'm going to call it the Journal Club. So what I want to do is get some guests on the show who are experts in their fields and talk about one particular article that may be sort of like a seminal article or something that's going to be of value to you.   The article discussed today: Ten-Year Outcomes of Children and Adolescents Who Underwent Sleeve Gastrectomy: Weight Loss, Comorbidity Resolution, Adverse Events, and Growth Velocity
Is it all in the genes? How much of obesity is caused by genetics? Does epigenetics or the environment also play a role in obesity? I came across Dr. Yeo, who is a geneticist specializing in obesity. I thought it would be great to have him on the show to discuss this further from his perspective.
For the past few episodes, we’ve been discussing obesity in children, what causes it, why it is a chronic disease that needs to be treated, the physiological, mental, and emotional implications it brings into the child and family’s life, and the different ways obesity can be managed.  Today, we’re going to chat with Drs. Jennifer Paisley and Allen Browne about metabolic and bariatric surgery as it pertains to the pediatric population.
We recently had Amelia Sherry on the podcast who shared a wealth of information on preventing disordered eating in children. She also shared that she herself has had some struggles with disordered eating in the past. Today she's here to share her personal journey through her disordered eating and how she's been able to cope with that.
Pediatric obesity is a very important topic to talk about because we want to tackle these situations early on as it will lead to healthier adults. This is why in this episode, I have Dr. Angela Fitch here with me to talk about how to manage obesity in children.
I had Amelia Sherry on my show some time back and we talked about disordered eating and how to prevent children from developing that. Well, since I am talking about childhood obesity this month, we thought it might be good to talk about how to raise a child in a larger body.
Last week, we discussed the prevalence of obesity in children as well as how to determine whether your child has overweight or obesity. Today we continue our conversation with Dr. Leigh M. Ettinger around the impacts of obesity that these children are facing and what we can do to prevent this from causing more risks.
Are you concerned about your child’s weight? The obesity epidemic is growing at an alarming rate. Obesity is defined as a body mass index (BMI) at or above the 95th percentile of the CDC sex-specific BMI-for-age growth charts. Dr. Leigh M. Ettinger’s nearly 17 years as a pediatric nephrologist at Hackensack University Medical Center in Northern New Jersey, he saw more and more of his patients struggling with obesity. He joins me as we discuss this very topic in depth.
Ever wondered whether these online weight loss programs actually deliver what they promise? Dr. Heather Hammerstedt, who is an Emergency Medicine physician and the founder of Wholist joins me to discuss the reality of online weight loss programs. We discuss what to look for in a program before you join.
Obesity is a complex disease and people with obesity all have their unique experiences with obesity, how they dealt with it, and if they have lost weight, how they have managed to keep it off. We’ve had a number of patients who shared their own weight loss journey but this time, I wanted to bring in a perspective of a physician to also speak about how treating obesity is not a cookie-cutter approach for every patient.
Despite the many medical advances happening in today’s day and age, there are still very few who acknowledge obesity as a disease. Hopefully, this episode will help you understand that managing obesity is not only about weight loss but overall metabolic health. We will also discuss how to choose a weight loss clinic right for you and what to expect from a good weight loss clinic.
Most people struggling with obesity have difficulty changing their habits because they have been struggling with weight all their lives. However, there comes a time in someone’s life when you decide it is time to do something about your weight.    In this episode, I chat with Jennifer Espinosa Goswami, who has suffered morbid obesity while growing up and yet managed to drop 100 pounds in one year. Her story is inspiring and proof that anyone can make healthy changes to their lifestyle at any age. Listen in to find out how she did it – and how you can, too!
Is there any difference between people who lose weight and are able to keep it off compared to those who lose weight only to gain it all back? It was with this question in mind that the National Weight Control Registry was formed. In this episode, we’re going to discuss significant findings from the National Weight Control Registry and then we’ll take a deeper dive into some of the studies on the data from the National Weight Control Registry.
You’ve seen them everywhere, the little “healthy” labels that are on the package of so many foods that we buy. But are they really healthy? Or do companies use these tricks to get us to spend more money?   Find out what the marketing industry doesn’t want you to know about these 'health halos' as I’m joined once again by my guest Prajakta Apte.
We all have seen them, but how does one interpret all the numbers on the food labels? What do they really mean for our health?  Prajakta Apte, a registered dietician, joins me on this episode to decode the nutrition labels on the back of the food packaging and helps us understand what to look for on a nutrition label.
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