Diet Drugs Work: Why Won't Doctors Prescribe Them?

Hugh Pickens DOT Com writes "Suzanne Koven, a primary-care doctor at Massachusetts General Hospital in Boston, writes in the New Yorker that the FDA has currently approved four drugs that will help patients lose weight but few primary-care physicians will prescribe them. Qsymia and Belviq work by suppressing appetite and by increasing metabolism, and by other mechanisms that are not yet fully understood. 'But I've never prescribed diet drugs, and few doctors in my primary-care practice have, either,' writes Koven and the problem is that, while specialists who study obesity view it as a chronic but treatable disease, primary-care physicians are not fully convinced that they should be treating obesity at all. The inauspicious history of diet drugs no doubt contributes to doctors' reluctance to prescribe them. In the nineteen-forties, when doctors began prescribing amphetamines for weight loss, rates of addiction soared. But in addition, George Bray thinks that socioeconomic factors play into physicians' lack of enthusiasm for treating obesity because obesity is, disproportionately, a disease of poverty. Because of this association, many erroneously see obesity as more of a social condition than a medical one, a condition that simply requires people to try harder. Louis Aronne likens the current attitude toward obesity to the prevailing attitude toward mental illness years ago and remembers, during his medical training, seeing psychotic patients warehoused and sedated, treated as less than human. 'What the hell was I thinking when I didn't do anything to help them? How wrong could I have been?' Specialists are now developing programs to aid primary-care physicians in treating obesity more aggressively and effectively but first primary-care physicians will have to want to treat it. 'Whether you call it a disease or not is not so germane,' says Lee M. Kaplan. 'The root problem is that whatever you call it, nobody's taking it seriously enough.'"

Comments

Re:No, they don't work

[clickclickdrone]

This. There is absolutely no point taking medication (FFS) to control your bad habits. As soon as you stop taking them, you'll revert back. It's not difficult. Eat less, move more. The only caveat being there is some some recent evidence that some people do genuinely have more trouble with this than others but it doesn't make the advice any different. Grow a pair, stop blaming other people for your own bad eating habits, take control of your life and stop being conned by all the faddy diets aimed at quick fixes. There are no quick fixes, just good, healthy ways to eat.

Re: No, they don't work

[Corbets]

70 lbs, near enough. Achieved through dieting and deciding to train for a marathon at the age of 26. Good enough for you?

Fat = lazy.

Re:DIET OF THE POOR

[glrotate]

I.e. Fat people are too stupid to know that they should eat carrots and not Doritos.

Re:No, they don't work

[stealth_finger]

So were you depressed because you were fat or fat because you were depressed? Depression, now there's some more bullshit people cling to, cheer up fatty, life is sweet.