Is cookies and chips new? And soda, morning cereal and ice cream new opioid?
His new book, “Diet, Drugs and Dopamine: A New Science of Healthy Weight Achievements” (Flaturn Books) Former FDA commissioner David A. Kessler says that ultra -fine foods, which mean “unrestricted, non -resistant, highly processed, highly, energy density, and high blood sugar”, are designed to be intentionally addictive by large foods, he’s intentional of food manufacturers. In order to emphasize the intention, 41.9%of the US adults are struggling with obesity.
Kessler says “Health Disaster”.
The shelf help is a well -being column that interviews researchers, thinkers and writers about the latest books to learn how to live a more complete life.
Toxic or visceral fat, which means fat around the inner organs, has increased diseases and conditions such as type 2 diabetes, arthritis, thrombosis, hypertension, cardiovascular disease, dementia, stroke and certain cancers.
GLP-1 weight loss drugs, such as Wegovy and Zepbound, helped millions of people shed weight and suppress food craving. But they cause additional health problems, Kessler says. It says that scientific data is not enough yet.
Kessler is a familiar topic. He has fought food addictions that have grown in New York since childhood, and when he was a reward for studying the lower sandwiches and chicken wings, the addiction became tight. He is having difficulty in managing the side effects of GLP-1 drugs. Kessler says that in order to overturn the obesity crisis, it is necessary to better understand the poisoning itself. You need to better understand how ultrasound catches a reasonable brain. Kessler also needs to create a new paradigm for addiction, Kessler says that addicts are currently seeing addicts through weak lenses.
In his book, Kessler urges to recognize that obesity is a chronic state that must be handled.
TIMES talked about a healthy weight loss strategy for long-term guidelines, physical training and lifespan improvement for safe use of Kessler and GLP-1.
This interview has been compressed and edited for clarity.
Dr. Kessler.
(Joy Asico Smith)
In this book, you talk about “elephants in the room” in relation to weight loss today. What is it?
We did not recognize how difficult it is to overcome our brain’s built -in compensation response to this initialized food that avoids food addiction and floods food supply. I’m not talking about cocaine or amphetamine, which is overly kidnapped by dopamine circuits. But addictive circuits are part of all of us. We are all connected to focus on the most prominent stimuli in the environment. And for many of us, the stimulus is this unique food. Food is very powerful in changing the way we feel. It is not a matter of willpower. Our bodies have experienced a cunning reduction over the last half century. And it was caused by this endless food consumption that could cause addictive circuits.
As you said, how can you “quietly noise?
It is the interaction between the stimulus of the environment and the brain. Changing our environment can significantly change what happens in the brain. (Environment) is everything outside our body where we interact. What you put on your TV, the fast food restaurant you pass on on the way to work, we are constantly receiving signals. So you try to remove clues. Or change the environment. Many of us do not have a chance to leave the environment. And the food industry tends to change its actions soon. But we now have pharmaceutical supplements. The impact of these GLP-1 drugs on food noise is a big discovery.
GLP-1 drugs can lead to serious medical states related to you. What are they,,, And how do doctors and pharmaceutical companies act differently?
In fact, the weight loss method, whether it’s a drug or a surgery, has a lack of energy. (GLP-1) is very effective in consuming less. But some people eat less than 1,000 calories a day. There are people who eat 600 and 800 calories. You need to receive medical services or take the risk of malnutrition. Foods stayed in the intestines for a longer time, and delayed (gastrointestinal disease) that enters the stomach can cause self -symptoms as well as metabolic results such as hypoglycemia, hypoglycemia and other metabolic conditions. They are all caused by malnutrition.
Many doctors who prescribe this are not well trained in obesity or nutrition. And if possible, it is very important to be able to use a medical professional team, including nutritionists. There is no doubt that the pharmaceutical company needs to better study the actual data. How to use these drugs, how to safely lower these drugs is an important issue. A better labeling related to gastrointestinal diseases and a risk of these drugs.
(FLATIRON BOOKS / JOY ASICO Smith)
Most people say that they will not participate in GLP-1 forever because they have expensive and side effects. But as you get out of the drug, most people are in weight. What is the solution, in the long run?
The question is about intermittent use, can you use this medicine to get rid of your weight? Can you use it intermittently for a lifetime? But we don’t yet know that it is safe. But you can use this drug to adjust yourself to learn how to eat differently. I eat very differently now -I don’t want to put a large amount of food into my stomach. I told me not to do that. How long will last, we can see. So you need range Tools. It can vary from nutritional therapy to behavioral therapy and physical activity, and it may vary from person to person. There is no tool that works during the period. The pharmacological tool is just one tool, which is a total tool box. But the most important thing is to recognize that this is a chronic state that requires continuous treatment after weight loss.
Achieving a healthy weight begins with understanding addiction. It’s not necessarily old advice. to “Eat less and move more.” Why is this so important?
Ultimate answer Be ‘Eat and move more.’ But we can’t do so because of physiological and addictive circuits. We must understand that addiction is not just about weak and groups. It is all of us, part of the circuit. We cannot overestimate the amount of stigma, shame and pain that many people could not control their weight. They thought it was their fault, and they did not like themselves about it, and society created all the prejudice that was attached to it. As for this energy dense food, our brain is not under our control. This is a very important stage.
There is a delicate balance between the benign movement, which encourages people to accept their bodies as they are, and the obese health crisis is the root cause of many diseases. How do we explore it?
The exercise did a lot of work. It took away the shame and stigmatized the stigma. But it was a time when there was no effective tool to reduce visceral fat. You can not only love your body, but also work for your health. Such things are not the opposite. And I say that we are not familiar with the amount of mortality and mortality related to visceral fat and we should not do something about it.
(Maggie Chiang / for the Times)
As a former member of the FDA, what keeps you on the night these nights?
Popular perception in a series of heart metabolic diseases in which visceral fat increases the actual disorder of the senior year. I think we are not ready to handle it. We woke up only how toxic this visceral fat is.
Takeout
In “Diet, Drugs and Dopamine”
Trump’s biggest achievements were operating speed in the first term. I have been part of it since January 2021. The reason we could do what we did and could safely develop, produce and distribute vaccines was because there were institutions in the federal government. The institutions had tremendous expertise and resources. And yes, we had to join it. Yes, we had to do something else. But we could build that infrastructure. Now they are destroying the infrastructure. I do not get it.
To end with positive reference: Actually weight loss. Reduces Future disease risk?
It is noteworthy that relatively small amounts can have a significant impact. To reverse certain conditions, more weight loss is required. But almost all weight loss will be useful for adding clinical advantages and reducing the risk of heart metabolism.
