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Stan Schwartz MD, FACP, FACE Private Practice, Ardmore Obesity Program

The Obesity/Diabetes Epidemic: Adiposopathy & ‘Obesity’- The New Disease! Weight Management in Obesity and DM: Emphasis on New Medical Therapies. Part 3. Stan Schwartz MD, FACP, FACE Private Practice, Ardmore Obesity Program Cardiometabolic Diabetes Center and Affiliate,

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Stan Schwartz MD, FACP, FACE Private Practice, Ardmore Obesity Program

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  1. The Obesity/Diabetes Epidemic:Adiposopathy & ‘Obesity’- The New Disease!Weight Management in Obesity and DM: Emphasis on New Medical Therapies Part 3 Stan Schwartz MD, FACP, FACE Private Practice, Ardmore Obesity Program Cardiometabolic Diabetes Center and Affiliate, Main Line Health System Emeritus, Clinical Associate Professor University of Pennsylvania

  2. A Guide to Selecting Treatment NIH/NHLBI, NAASO. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Bethesda, MD: NIH, 2000.

  3. Lifestyle Modification Low-Calorie Diet IncreasedPhysical Activity Behavior Therapy

  4. The “Toxic Environment” supersized • High-Calorie Food is… • Highly palatable • Inexpensive • Heavily advertised • Near-ubiquitous Brownell KD & Horgen KB. Food Fight. New York: McGraw-Hill; 2003.

  5. Compliance, Use foods Used to Eating

  6. Cumulative Effect of Small Daily Errors in Energy Balance on Body Fat Mass Lb/yr Leads to ‘100 cal/ day = 1 lb/m’ rule My Advice: use foods patient used to eating

  7. The “Toxic Environment” • Physical Activity is… • To be avoided • Nearly unnecessary • Limited by infrastructure Brownell KD & Horgen KB. Food Fight. New York: McGraw-Hill; 2003.

  8. Burning a lot less energy (per half hour) in 2004 vs 1984

  9. So… Hard to lose weight with exercise

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