Research has shown that many GPs are fatphobic and generally unhelpful in their approach to not only weight management but also management of other illnesses when the patient carries excess weight. This is not helped by an incorrect government focus on obesity over an active lifestyle and a poor social understanding of obesity as a disease, not a choice.

Obesity has increasingly been recognized not merely as a lifestyle choice but as a complex and chronic disease.

Recent research highlights the multifaceted nature of obesity, identifying genetic, environmental, psychological, and metabolic factors that contribute to its onset and persistence.

The Complex Nature of Obesity

Obesity is not just a result of overeating or a lack of physical activity; it is influenced by a myriad of factors. Recent studies have illuminated the role of genetics in predisposing individuals to obesity. For instance, research published in the journal Nature identified specific genes associated with fat storage and energy regulation, indicating that some individuals may be genetically predisposed to gain weight more easily than others.

Moreover, environmental factors such as socioeconomic status, access to healthy food, and opportunities for physical activity significantly influence obesity rates. The rise of processed foods, sedentary lifestyles, and urbanisation has contributed to an obesogenic environment, particularly in low-income communities. Psychological factors, including stress and mental health disorders, also play a critical role in eating behaviours and weight management.

The recognition of obesity as a disease emphasizes the need for comprehensive treatment strategies that address these various factors.

Latest Research on Obesity

Recent research has provided valuable insights into the pathophysiology of obesity and its associated health risks. For example, studies have shown that obesity is linked to a range of comorbidities, including cardiovascular disease, type 2 diabetes, certain cancers, and mental health disorders. A study published in the New England Journal of Medicine revealed that even modest weight loss can significantly reduce the risk of developing these conditions, highlighting the importance of effective weight management strategies.

Furthermore, research has explored the role of the gut microbiome in obesity. An imbalance in gut bacteria can affect metabolism and energy regulation, leading to weight gain. Emerging studies suggest that probiotics and dietary interventions aimed at restoring gut health may serve as adjunct therapies in obesity management.

Pharmacological approaches have also seen advancements, with several medications gaining approval for obesity treatment in recent years. Drugs you’ve probably heard of, such as Ozempic and Mounjaro, have been shown to facilitate weight loss and improve metabolic health, making them valuable tools in a comprehensive obesity treatment plan.

The Role of Private GPs in Managing Weight

Private GPs play a crucial role in weight management by providing personalised care that addresses the unique needs of each patient. A tailored approach is essential, as this does not have a one-size-fits-all solution. Here’s how private GPs can make a difference:

1. Comprehensive Assessment
Private GPs can begin with a thorough assessment of the patient’s medical history, lifestyle, and psychological well-being. This holistic approach allows for the identification of underlying factors contributing to obesity, such as hormonal imbalances, metabolic disorders, or mental health issues. By understanding the complexities of each individual’s situation, GPs can develop a more effective and personalised treatment plan.

Did you know, for example, that having high fasting insulin can make weight loss very difficult? This is because excessive insulin takes the food you eat and stores it as fat so reducing the fasting insulin is very important to the success of your weight loss plan.

2. Individualised Plans
Based on the assessment, private GPs can create tailored weight loss plans that include dietary recommendations, medication options, exercise regimens, and behavioural strategies. These plans take into account the patient’s preferences, lifestyle, and any barriers they may face in achieving their weight loss goals.

3. Medication Management
For some patients, lifestyle changes alone may not be sufficient for achieving significant weight loss, especially if they have high fasting insulin, diabetes and/or metabolic syndrome. Private GPs can prescribe medications when appropriate, which has shown promising results. These medications can help patients manage their appetite, reduce cravings, and ultimately support their weight loss journey. GPs can monitor patients’ responses to medication, making necessary adjustments to optimise outcomes and minimise side effects.

4. Addressing Psychological Aspects
Understanding that struggling with weight often has psychological components is crucial. Private GPs can screen for mental health issues such as depression, anxiety, or binge eating disorders that may contribute to weight gain.

The Importance of a Multidisciplinary Approach

Obesity management is often most effective when a multidisciplinary approach is employed. Private GPs can collaborate with endocrinologists, psychologists, exercise physiologists, and other health professionals to provide comprehensive care. This team-based approach ensures that patients receive well-rounded support that addresses all aspects of their health.

We believe that most people who struggle with their weight know very well to “eat less and move more” and for many of them, especially those with metabolic syndrome, this approach is frankly a sham. Because individuals try this and fail, they enter a cycle of shame and self-loathing. It does not help that many medical professionals have been shown to be unsympathetic and unhelpful, an extension of social bias against overweight people.

We are here to support you every step of the way. Book an appointment with our leading doctor, Dr Enam Abood, who will provide you with the healthcare experience and the empathy you deserve. You can book with her by calling us today.