Tuesday, July 16, 2024

July 16 2024 - The End of Obesity?

 

There's a prevalent thought that the fast food in the U.S. has caused the significant increase in obesity.  

This isn't so simple:  this turns out to be such a complicated area to investigate. Maybe that's because obesity is a complicated condition.  It isn't simple, according to medical researchers.  We've been fixated on obesity for as long as I can remember - think of all the weight-loss methods over the decades.  

I didn't realize that there are two models to describe weight.

The first is the one we all know - the energy balance model - this has been around a long time and is the one that says food intake vs energy expended determines weight - too much food intake compared to too little expended results in weight gain.  It promotes "eat less" and  "move more."  

The second one is the carbohydrate-insulin model.  It says that "modern dietary patterns characterized by excessive consumption of foods with a high glycemic load: in particular, processed, rapidly digestible carbohydrates. These foods cause hormonal responses that fundamentally change our metabolism, driving fat storage, weight gain, and obesity."

So a carbohydrate-rich diet increases insulin production and is responsible for the overall rise in obesity.  The phrase used is 'good calories, bad calories.'

Maybe all this has come to mind because of the drugs that cause weight loss - Ozempic and Wegovy. They became approved in Canada since May.  It is like a miracle for obese people.  There is the prediction that obesity can be treated through medication.

I expected that Ozempic and Wegovy were on the side of the CIM explanation. But an article says that they support the Energy-balance model.  It works in the brain to reduce food intake.  It does initially cause the body to secrete more insulin.

So wondering about the potential to eliminate obesity, I was transfixed by one of the questions on Google:  How much is Ozempic at Costco?  The answer: "The program, which operates as a three-month subscription period, is available for $179 per subscription period for Costco members. That was in April and may be U.S.  

It seems to highlight to me that Costco seems to have "everything" - ironically - "in bulk".   It leads one down the question path of whether Costco is making people fat - there are lots of articles suggesting this.  And now it seems it can prescribe them out of obesity with medication. 
 
Peaches are ripe in Niagara.  They are extraordinarily sweet. Oh no!  What that might mean in terms of sugar?  Don't worry - they are low glycemic.  Happy fact!

 

 
For those who love the Red Hot Poker plant, here is another view and then below that the Delphinium crop.  This was a flower farm I visited quite a while ago.  Flowers, Flowers!
 
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