One of the most important yet neglected chronic disease states in the US is obesity. It had previously not been considered a disease; therefore, approach was limited to conversation about changing one’s lifestyle. However, led by American Association of Clinical Endocrinologists (AACE) in 2012 several medical societies (such as American Society for Metabolic & Bariatric Surgery, Obesity Society, American Medical Association) recognized obesity as a disease with multiple causes and many possible medical complications, such as type 2 diabetes, high blood pressure, hyperlipidemia (high cholesterol), sleep apnea, musculoskeletal issues, fatty liver, polycystic ovary syndrome and depression. Dr. Grunberger has been a co-author of the position statements of AACE on comprehensive approach to obesity as a medical condition. The prevalence has reached approximately 40% in our adult population and sadly almost 20% in our youth.
Fortunately, the obesity epidemic has brought out additional treatment modalities which are now covered by many insurance plans. Multidisciplinary medical weight loss clinics with physicians and coaches, older and new oral and injectable medications (e.g. higher dose anti-diabetic medications, Saxenda), and bariatric surgeries such as gastric bypass or gastric sleeve have turned out to be successful approaches in many patients.
As endocrinologists, we have the knowledge of possible causes leading to obesity and its complications and can discuss personalized therapies leading to a healthier life. At GDI we run Cornerstone Wellness weight management program and also have a full-time registered dietitian to design optimal path to healthy eating.