Dr. Spencer Nadolsky

you know, they just change their habits a little bit and lose the weight and never gain it back versus other people. They try to lose the weight and their body fights them tooth and nail and they essentially just cannot lose the weight or keep it off without some extra tool despite their best efforts and all the the amount of effort that they put into it.

you know, they just change their habits a little bit and lose the weight and never gain it back versus other people. They try to lose the weight and their body fights them tooth and nail and they essentially just cannot lose the weight or keep it off without some extra tool despite their best efforts and all the the amount of effort that they put into it.

So it's that pathophysiology that I think is really what people need to understand because otherwise they just think it's a choice. Yes. You just think they're just like, I don't understand. It's just a calorie deficit. It can't be a disease. And it's like, whoa. I was like, what is choice? Even if it were a choice, that doesn't mean that this person doesn't have a disease.

So it's that pathophysiology that I think is really what people need to understand because otherwise they just think it's a choice. Yes. You just think they're just like, I don't understand. It's just a calorie deficit. It can't be a disease. And it's like, whoa. I was like, what is choice? Even if it were a choice, that doesn't mean that this person doesn't have a disease.

So it's that pathophysiology that I think is really what people need to understand because otherwise they just think it's a choice. Yes. You just think they're just like, I don't understand. It's just a calorie deficit. It can't be a disease. And it's like, whoa. I was like, what is choice? Even if it were a choice, that doesn't mean that this person doesn't have a disease.

For the bros out there, I'm always like, let's say if you knew... that this woman out there had gonorrhea. Let's make it really clear. And you choose to still have intercourse with her and you get gonorrhea. Do you not have a disease because you chose that? No, that doesn't even make sense. You got to think of that. Good point. And then I always talk about like, what about type two diabetes?

For the bros out there, I'm always like, let's say if you knew... that this woman out there had gonorrhea. Let's make it really clear. And you choose to still have intercourse with her and you get gonorrhea. Do you not have a disease because you chose that? No, that doesn't even make sense. You got to think of that. Good point. And then I always talk about like, what about type two diabetes?

For the bros out there, I'm always like, let's say if you knew... that this woman out there had gonorrhea. Let's make it really clear. And you choose to still have intercourse with her and you get gonorrhea. Do you not have a disease because you chose that? No, that doesn't even make sense. You got to think of that. Good point. And then I always talk about like, what about type two diabetes?

We don't think of it that way. Do we say people choose to have type two diabetes? No. So the choice thing doesn't have anything to do with it. But going into the pathophysiology though, it's like, If it truly, even if, like, it's not a choice, though. It's not a choice because, like, people would never choose to have obesity. And people are like, well, they're choosing the habits.

We don't think of it that way. Do we say people choose to have type two diabetes? No. So the choice thing doesn't have anything to do with it. But going into the pathophysiology though, it's like, If it truly, even if, like, it's not a choice, though. It's not a choice because, like, people would never choose to have obesity. And people are like, well, they're choosing the habits.

We don't think of it that way. Do we say people choose to have type two diabetes? No. So the choice thing doesn't have anything to do with it. But going into the pathophysiology though, it's like, If it truly, even if, like, it's not a choice, though. It's not a choice because, like, people would never choose to have obesity. And people are like, well, they're choosing the habits.

They clearly chose an extra serving, an extra helping at dinner when they didn't have to. It's like, no, they're It's the underlying appetite dysregulation or derangement that's driving it. The biology drives the behavior. And of course, the environment. So like, you know, Cali Means and all these other people will say, like, no, we don't need drugs. We need to change our environment.

They clearly chose an extra serving, an extra helping at dinner when they didn't have to. It's like, no, they're It's the underlying appetite dysregulation or derangement that's driving it. The biology drives the behavior. And of course, the environment. So like, you know, Cali Means and all these other people will say, like, no, we don't need drugs. We need to change our environment.

They clearly chose an extra serving, an extra helping at dinner when they didn't have to. It's like, no, they're It's the underlying appetite dysregulation or derangement that's driving it. The biology drives the behavior. And of course, the environment. So like, you know, Cali Means and all these other people will say, like, no, we don't need drugs. We need to change our environment.

We do need to change the environment. The environment will help prevent the obesity from occurring in the first place. But once that obesity develops, their brain... Is changed. Yes. Their genes are changed.

We do need to change the environment. The environment will help prevent the obesity from occurring in the first place. But once that obesity develops, their brain... Is changed. Yes. Their genes are changed.

We do need to change the environment. The environment will help prevent the obesity from occurring in the first place. But once that obesity develops, their brain... Is changed. Yes. Their genes are changed.

Yeah. I describe it as like, think about the circuits in our brain and the circuits in our brain control a lot of our processes in our body. One of them being appetite. In a normal brain, someone that doesn't have obesity or struggles with their appetite, all the circuits are working well. But think about someone that struggles with their obesity and losing that weight and keeping it off.

Yeah. I describe it as like, think about the circuits in our brain and the circuits in our brain control a lot of our processes in our body. One of them being appetite. In a normal brain, someone that doesn't have obesity or struggles with their appetite, all the circuits are working well. But think about someone that struggles with their obesity and losing that weight and keeping it off.

Yeah. I describe it as like, think about the circuits in our brain and the circuits in our brain control a lot of our processes in our body. One of them being appetite. In a normal brain, someone that doesn't have obesity or struggles with their appetite, all the circuits are working well. But think about someone that struggles with their obesity and losing that weight and keeping it off.