if you ever walked into a restaurant determined to eat healthy and moments
determined to eat healthy and moments
determined to eat healthy and moments later walked out having eaten exactly
later walked out having eaten exactly
later walked out having eaten exactly what you’re trying to avoid I know I
what you’re trying to avoid I know I
what you’re trying to avoid I know I have cheese fries pasta how did that
have cheese fries pasta how did that
have cheese fries pasta how did that just happen I can’t believe I just did
just happen I can’t believe I just did
just happen I can’t believe I just did that frustration sits in sometimes guilt
that frustration sits in sometimes guilt
that frustration sits in sometimes guilt that terrible feeling of failure what if
that terrible feeling of failure what if
that terrible feeling of failure what if I told you that what you eat is not
I told you that what you eat is not
I told you that what you eat is not actually an active or even conscious
actually an active or even conscious
actually an active or even conscious choice as a matter of fact what we eat
choice as a matter of fact what we eat
choice as a matter of fact what we eat is really a series of unfortunate or
is really a series of unfortunate or
is really a series of unfortunate or fortunate events genes environments
fortunate events genes environments
fortunate events genes environments emotions hormones and macromolecules
emotions hormones and macromolecules
emotions hormones and macromolecules colliding together at the right or wrong
colliding together at the right or wrong
colliding together at the right or wrong time in the right or wrong place and
time in the right or wrong place and
time in the right or wrong place and boom appetite you eat and stop or you
boom appetite you eat and stop or you
boom appetite you eat and stop or you eat and eat and eat hi I’m an internal
eat and eat and eat hi I’m an internal
eat and eat and eat hi I’m an internal medicine physician and I’m also boarded
medicine physician and I’m also boarded
medicine physician and I’m also boarded in obesity medicine and I believe that
in obesity medicine and I believe that
in obesity medicine and I believe that physicians in society underestimate the
physicians in society underestimate the
physicians in society underestimate the power of the gut and the brain we like
power of the gut and the brain we like
power of the gut and the brain we like to think that people with obesity have
to think that people with obesity have
to think that people with obesity have weak willed power that it’s their fault
weak willed power that it’s their fault
weak willed power that it’s their fault rather than a deficiency and hunger and
rather than a deficiency and hunger and
rather than a deficiency and hunger and satiety
satiety
satiety hormones I know because I used to be
hormones I know because I used to be
hormones I know because I used to be that judgemental physician until I
that judgemental physician until I
that judgemental physician until I walked into a health check three years
walked into a health check three years
walked into a health check three years ago and found out that my bad
ago and found out that my bad
ago and found out that my bad cholesterol was 170 my BMI was 31 whoa I
cholesterol was 170 my BMI was 31 whoa I
cholesterol was 170 my BMI was 31 whoa I was obese and I’m pre-diabetic how did
was obese and I’m pre-diabetic how did
was obese and I’m pre-diabetic how did that happen
that happen
that happen I’m supposed to treat this all of a
I’m supposed to treat this all of a
I’m supposed to treat this all of a sudden I was my patients and they were
sudden I was my patients and they were
sudden I was my patients and they were me and just like them I blame myself for
me and just like them I blame myself for
me and just like them I blame myself for not being able to resist that croissant
not being able to resist that croissant
not being able to resist that croissant at Starbucks gosh I
at Starbucks gosh I
at Starbucks gosh I eat good all day long and that croissant
eat good all day long and that croissant
eat good all day long and that croissant kept calling me over to the dark side
kept calling me over to the dark side
kept calling me over to the dark side it wasn’t until I figured out that my
it wasn’t until I figured out that my
it wasn’t until I figured out that my food choices my food choices were more
food choices my food choices were more
food choices my food choices were more of a product of what was going on going
of a product of what was going on going
of a product of what was going on going on around me rather than within me
on around me rather than within me
on around me rather than within me rather than a deficiency of me of my
rather than a deficiency of me of my
rather than a deficiency of me of my character that I was finally able to
character that I was finally able to
character that I was finally able to lose weight but more importantly learned
lose weight but more importantly learned
lose weight but more importantly learned how to chronically manage weight and I
how to chronically manage weight and I
how to chronically manage weight and I went on to build a new clinical model to
went on to build a new clinical model to
went on to build a new clinical model to do just that and today I want to talk to
do just that and today I want to talk to
do just that and today I want to talk to you about a tool I use with all my
you about a tool I use with all my
you about a tool I use with all my patients you guys know it well the scale
patients you guys know it well the scale
patients you guys know it well the scale and this is the best tool I have and
and this is the best tool I have and
and this is the best tool I have and sometimes it’s my worst enemy it’s the
sometimes it’s my worst enemy it’s the
sometimes it’s my worst enemy it’s the best tool because long-term studies show
best tool because long-term studies show
best tool because long-term studies show that the best way you can get your
that the best way you can get your
that the best way you can get your weight off and keep it off is by
weight off and keep it off is by
weight off and keep it off is by stepping on this daily but my obstacle
stepping on this daily but my obstacle
stepping on this daily but my obstacle is is I have to convince my patients who
is is I have to convince my patients who
is is I have to convince my patients who have lost weight and reverse their
have lost weight and reverse their
have lost weight and reverse their chronic disease and feel good to
chronic disease and feel good to
chronic disease and feel good to continue to step on this see anyone can
continue to step on this see anyone can
continue to step on this see anyone can lose weight but maintaining weight loss
lose weight but maintaining weight loss
lose weight but maintaining weight loss is elusive research shows that when we
is elusive research shows that when we
is elusive research shows that when we lose weight our brain and our gut alter
lose weight our brain and our gut alter
lose weight our brain and our gut alter hormones and peptides that encourage us
hormones and peptides that encourage us
hormones and peptides that encourage us to regain that weight and these
to regain that weight and these
to regain that weight and these metabolic adaptations they don’t last
metabolic adaptations they don’t last
metabolic adaptations they don’t last for six months they last for four to
for six months they last for four to
for six months they last for four to five years we like to think that we’re
five years we like to think that we’re
five years we like to think that we’re in control that the reason we revert
in control that the reason we revert
in control that the reason we revert back to old habits is because I don’t
back to old habits is because I don’t
back to old habits is because I don’t have time I got busy I’m lazy I have no
have time I got busy I’m lazy I have no
have time I got busy I’m lazy I have no willpower but the reality is we’re
willpower but the reality is we’re
willpower but the reality is we’re pulled back to those habits I like to
pulled back to those habits I like to
pulled back to those habits I like to tell my patients that losing weight is a
tell my patients that losing weight is a
tell my patients that losing weight is a fun project but keeping your weight off
fun project but keeping your weight off
fun project but keeping your weight off is a part-time job
is a part-time job
is a part-time job till death do you part it’s hard
till death do you part it’s hard
till death do you part it’s hard sometimes frustrating and it’s a
sometimes frustrating and it’s a
sometimes frustrating and it’s a long-term commitment and this scale can
long-term commitment and this scale can
long-term commitment and this scale can be your best friend
be your best friend
be your best friend stepping on it daily allows you to
stepping on it daily allows you to
stepping on it daily allows you to formulate a mental dashboard that can
formulate a mental dashboard that can
formulate a mental dashboard that can help you fight that biological drive to
help you fight that biological drive to
help you fight that biological drive to regain weight it’s a compass without it
regain weight it’s a compass without it
regain weight it’s a compass without it your appetite hormones are going to lead
your appetite hormones are going to lead
your appetite hormones are going to lead you south well actually in this case
you south well actually in this case
you south well actually in this case North imagine that you’re in a car race
North imagine that you’re in a car race
North imagine that you’re in a car race and your goal is to get to the finish
and your goal is to get to the finish
and your goal is to get to the finish line of health it doesn’t matter how
line of health it doesn’t matter how
line of health it doesn’t matter how fast or slow you get there but you want
fast or slow you get there but you want
fast or slow you get there but you want to get there and stay there because
to get there and stay there because
to get there and stay there because that’s where you feel good people with
that’s where you feel good people with
that’s where you feel good people with obesity have a smaller gas tank they can
obesity have a smaller gas tank they can
obesity have a smaller gas tank they can reach that finish line but in order to
reach that finish line but in order to
reach that finish line but in order to do so they need to have the perfect race
do so they need to have the perfect race
do so they need to have the perfect race no mistakes the wind the road conditions
no mistakes the wind the road conditions
no mistakes the wind the road conditions the tires on your car the fuel you put
the tires on your car the fuel you put
the tires on your car the fuel you put in your car the speed you go up will all
in your car the speed you go up will all
in your car the speed you go up will all determine how far you can take that
determine how far you can take that
determine how far you can take that smaller tank and that is how our
smaller tank and that is how our
smaller tank and that is how our environment our emotions what we eat how
environment our emotions what we eat how
environment our emotions what we eat how much we sleep our genes our micro biomes
much we sleep our genes our micro biomes
much we sleep our genes our micro biomes impact and alter our appetite hormones
impact and alter our appetite hormones
impact and alter our appetite hormones but we choose to ignore these rather we
but we choose to ignore these rather we
but we choose to ignore these rather we want to put our fate in the driver and
want to put our fate in the driver and
want to put our fate in the driver and we race and we race and we race and we
we race and we race and we race and we
we race and we race and we race and we fail and we fail and we fail and rather
fail and we fail and we fail and rather
fail and we fail and we fail and rather than go back and take a look at that
than go back and take a look at that
than go back and take a look at that small tank of gas and say how can we
small tank of gas and say how can we
small tank of gas and say how can we expand it or take a look at the
expand it or take a look at the
expand it or take a look at the conditions and say how can we optimize
conditions and say how can we optimize
conditions and say how can we optimize them to get the most out of that tank we
them to get the most out of that tank we
them to get the most out of that tank we turn around and we blame the driver me
turn around and we blame the driver me
turn around and we blame the driver me you and that’s how the scale becomes my
you and that’s how the scale becomes my
you and that’s how the scale becomes my worst enemy look at that I gained two
worst enemy look at that I gained two
worst enemy look at that I gained two pounds I can’t believe I binge Donatella
pounds I can’t believe I binge Donatella
pounds I can’t believe I binge Donatella while preparing for this TEDx talk I’m a
while preparing for this TEDx talk I’m a
while preparing for this TEDx talk I’m a failure I’m pathetic I can’t control
failure I’m pathetic I can’t control
failure I’m pathetic I can’t control myself I’m fat I’m lazy this type of
myself I’m fat I’m lazy this type of
myself I’m fat I’m lazy this type of self stigmatization and self blame will
self stigmatization and self blame will
self stigmatization and self blame will may
may
may you sick a recent study showed that
you sick a recent study showed that
you sick a recent study showed that people who internalize weight stigma are
people who internalize weight stigma are
people who internalize weight stigma are three to six three to six more times
three to six three to six more times
three to six three to six more times likely than Pete to have metabolic
likely than Pete to have metabolic
likely than Pete to have metabolic syndrome which is a which basically
syndrome which is a which basically
syndrome which is a which basically leads to heart and diabetes heart
leads to heart and diabetes heart
leads to heart and diabetes heart disease and diabetes than people who do
disease and diabetes than people who do
disease and diabetes than people who do not have that stigma and I believe it
not have that stigma and I believe it
not have that stigma and I believe it because I see it every day
because I see it every day
because I see it every day negative thinking will blind you from
negative thinking will blind you from
negative thinking will blind you from seeing the conditions working against
seeing the conditions working against
seeing the conditions working against you and prevent you from seeking
you and prevent you from seeking
you and prevent you from seeking treatment and seeing alternative
treatment and seeing alternative
treatment and seeing alternative explanations let’s try this again look
explanations let’s try this again look
explanations let’s try this again look at that I gained two pounds
at that I gained two pounds
at that I gained two pounds my mental dashboard goes up you know my
my mental dashboard goes up you know my
my mental dashboard goes up you know my appetite must be up because I’ve been
appetite must be up because I’ve been
appetite must be up because I’ve been working late at night I better start
working late at night I better start
working late at night I better start sleeping a little bit more and catch up
sleeping a little bit more and catch up
sleeping a little bit more and catch up on some sleep or if I have to work up
on some sleep or if I have to work up
on some sleep or if I have to work up late at night I better make sure there’s
late at night I better make sure there’s
late at night I better make sure there’s no Nutella around see the problem is not
no Nutella around see the problem is not
no Nutella around see the problem is not the skill the problem is the stigma we
the skill the problem is the stigma we
the skill the problem is the stigma we as a society placed on people who are
as a society placed on people who are
as a society placed on people who are overweight or who struggle with obesity
overweight or who struggle with obesity
overweight or who struggle with obesity with this misconception that weight
with this misconception that weight
with this misconception that weight somehow represents our character it does
somehow represents our character it does
somehow represents our character it does not let’s stop judging ourselves and
not let’s stop judging ourselves and
not let’s stop judging ourselves and others by their weight weight is a
others by their weight weight is a
others by their weight weight is a number we can track it it’s something
number we can track it it’s something
number we can track it it’s something that we can perhaps remind us be
that we can perhaps remind us be
that we can perhaps remind us be insightful but it does not tell you the
insightful but it does not tell you the
insightful but it does not tell you the whole story or even a part of the story
whole story or even a part of the story
whole story or even a part of the story it definitely does not tell you how
it definitely does not tell you how
it definitely does not tell you how brilliant wonderful and accomplished
brilliant wonderful and accomplished
brilliant wonderful and accomplished person you are when people ask me hey
person you are when people ask me hey
person you are when people ask me hey what do you guys what what do you guys
what do you guys what what do you guys
what do you guys what what do you guys do at in our health that’s so unique I
do at in our health that’s so unique I
do at in our health that’s so unique I tell them we help people manage their
tell them we help people manage their
tell them we help people manage their weight but more importantly than that we
help people see past their weight
help people see past their weight thank you
”
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