Weight Loss is Both Simple and Complexed (Oprah's viral clip)

So, I wanted to chat about Oprah's recent interview with two MDs, the CEO of Weight Watchers, and a psychologist.

Here's the viral clip that I'll be talking about in this newsletter.

Here are my quick thoughts:

Oprah and the psychologist touched on some key points about obesity being recognized as a disease, which is a big deal. It's not just about willpower anymore; there's more to it.

I actually really love this because just like someone isn't Anorexic, they struggle with anorexia. Just like you'd say, someone has Cancer.

Placing the person first is crucial, as it emphasizes empathy and adds nuance to the conversation.

I loooooove nuance.

However, there was a bit of a hiccup when she talked about "calories in, calories out." It's a basic principle – burn more than you eat to lose weight.

They say that calories in VS calories out works for some people, but not for everyone.

This is not entirely true.

I think what they were trying to say (I hope), is that there's a lot of reasons WHY calorie counting and attempting to eat less works for some, but doesn't work for others.

The basic thermodynamics of our metabolism and weight loss do indeed operate in a way that applies universally to everyone.

If you're in a calorie deficit, you'll lose weight. Period. 

This is why GLP-1 drugs work; they don't do anything fancy to your metabolism; instead, they affect your appetite.

People lose weight on these drugs BECAUSE they help people feel fuller longer, dampening hunger cues, and therefore, putting people into a calorie deficit without dieting. 

But, this clip also highlighted the importance of individuality.

Weight loss isn't one-size-fits-all.

While calorie counting works for many, it's not the best approach for everyone. We need to find what works for each person.

They also dove into genetics and psychology, which are huge factors in weight management. It's not just about what you eat; it's about understanding your body and mind.

You've probably heard this saying: "Genetics load the gun, environment pulls the trigger" (I don't know who said that first, but I like it!)

This can absolutely be true for obesity, weight loss, and weight management. 

For example, studies suggest that genetic factors can account for 40-70% of the risk of developing obesity!!!

But of course, there's lifestyle, nutrition, education, socioeconomic status, trauma, relationship with food, health conditions, exercise, etc. 

And let's not forget about the oversimplification in the media.

Weight loss isn't just about willpower or giving up – it's about finding a balance between personal responsibility and the things beyond our control.

Overall, weight loss is both simple and complicated. It's about finding what works for you while understanding that there's a lot of nuance.

To sum up the piece that health practitioners are pushing back on: The Calories in vs Calories out thing...

What she's really saying (I think, I hope) is that while counting calories may not be the best approach for everyone due to its potential negative impact on mental health and relationship with food, it still technically works for weight loss.

So yes, it works for every single person. 

BUT, it might not be effective because of other factors at play. 

 

Anyway, I'd love to hear your thoughts!

I'm not against ANYONE using these drugs, as long as it's done safely. I think each person has the right to their own choices, even if they might trigger some people. 


Sending strength, encouragement, and nuanced conversations,

Alicia