Obesity is a biological disease that cannot be effectively treated through willpower or lifestyle changes alone, as diet and exercise produce only 3-5% sustained weight loss; instead, effective treatment requires medical interventions like GLP-1 medications (Ozempic, Wegovy, Mounjaro, Zepbound) that produce 15-25% weight loss by changing the underlying biology of the condition.
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Eat Less Move More Is A Lie
Added:Hey, whoa, whoa, whoa. A top-obesity doctor just said obesity is finally a choice. Then he explained why the choice has nothing to do with willpower. Dr. Yoni Freedhoff is one of the most respected obesity doctors in North America. Medical director of the Bariatric Medical Institute, family medicine professor at the University of Ottawa. Last week he published something that should change how every woman with weight she can't lose thinks about her body. Here's his exact framing. Nobody chooses to live with obesity. Lifestyle changes alone don't work for the majority of patients. That's been the evidence for decades, but in 2026, obesity is actually finally a choice.
Just not the choice everyone thinks. The choice isn't between salad and pizza or a cheeseburger. The choice is between accepting the disease as you've been told to or treating it with medications that actually change the biology. Which medications? GLP-1 medications. Ozempic, Wegovy, Mounjaro, Zepbound.
For the first time in medical history, we have drugs that produce sustained, meaningful weight loss in patients who take them. Bariatric surgery, endoscopic procedures, combination therapies, this toolkit is real. Here's what matters for women who are struggling with this.
Obesity in women is connected to almost everything I treat as an OBGYN.
Anovulation, PCOS, now called PMOS, endometrial cancer, breast cancer risk, pregnancy complications, preeclampsia, gestational diabetes, postpartum depression, pelvic floor dysfunction, menstrual irregularities, and even infertility. And for decades, our prescriptions been the same. Lose weight, eat better, exercise more. And that didn't work because diet and exercise produce an average sustained weight loss of a 3 to 5%. GLP-1s produce 15 to 25%.
If you have struggled with your weight for years and your doctor still tells you to just try harder, you are getting outdated medicine. That's pure cookie-cutter. The choice in 2026 is whether to treat obesity like the disease it is or keep blaming yourself for biology you actually never chose.
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