On the show today I’m delighted to welcome Dr Andrew Jenkinson, a consultant surgeon with a special interest in advanced laparoscopic, (or keyhole) surgery who treats bariatric patients. He is part of an expert team developing advances in gastrointestinal surgery at University College Hospital and author of the book “Why we eat too much”.Obesity is a particular problem for the UK having the 6th highest prevalence of obesity where 26% of adults are classified as obese and it disproportionately affects both adults and children in lower socioeconomic groups. Because of the prevalence and the dire comorbidities associated with the condition, there is a strong public health incentive to find effective treatments and preventative measures. Yet the debate about obesity is shrouded with oversimplification a lack of appreciation of the foundations of how we got here as well as a lack of empathy for sufferers of this disease. On the other hand, people whose interests are to protect the mental health of those who suffer with being overweight (whilst their intentions may be genuine) fail to appreciate the need for recognising that there is a problem which needs treatment. This isn’t an episode geared toward fat shaming or pointing the finger at obese people (as commonly occurs in the media) in the same way previous episodes about eating for migraines, PCOS or IBD are not geared toward pointing the finger at those people for having those conditions. This is for general informational purposes only and to help everyone understand the mechanisms behind why some people struggle with weight vs others, cease the oversimplification of Calories in vs out and recognise the potential interventions before we have to entertain drastic measures such as bariatric surgery. On the show today we talk about:How patient stories encouraged Andrew to dig deeper into the mechanisms behind obesityWhy obesity is better defined as a disease and what that means for treatmentNHS Obesity prejudiceThe interplay of genes, hormones, neurotransmitters in the likelihood of obesityYour BMR and weight set point and how to change itLeptin resistance, Insulin, Cortisol and mitochondrial function in obesityWhy low calorie diets work .. and then don’t workThe impact of COVID on his job and obese patientsPoverty, the food environment and obesityAndrew's tips for weight lossCheck out The Doctor's Kitchen website for full show notes for this and all other episodes Hosted on Acast. See acast.com/privacy for more information.

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