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Short 🧵There's lots of backlash to the new American Academy of Pediatrics childhood guidelines, which suggest docs consider surgery or meds in kids as young as 12

Not surprising since the guidelines surfaced an uncomfortable nuance in the obesity debates a lot of people miss...1/4

In sum, critics are uneasy with the idea that kids might be medicated or even go under the knife to treat obesity at a moment when the catastrophic, obesity-promoting built- and food- environments don't change.

@ConscienHealth has a nice sum of the backlash here conscienhealth.org/2023/01/fea

ConscienHealthFear, Myths, and Obesity in Youth - ConscienHealthThe thought of actually providing care for obesity in youth is unsettling and thus is stirring up all kinds of fear and myths.
Julia Belluz

But what's lost in the pushback is that the treatment of individuals who presently have obesity must be considered separately from questions about prevention and obesity’s environmental causes.

And right now, the best treatments we have are and -based obesity medications such as . Even for adolescents.

I wrote how I came around to this view, and why it's less radical than it sounds at a glance
@SubstackInc juliabelluz.substack.com/p/wha

Julia BelluzWhat to do about children with obesity? By Julia Belluz

@bookstodon @juliaoftoronto intermittent fasting will accomplish the same thing as bariatric surgery.

There are a couple of good books on the subject by Dr. Jason Fung (U of Toronto) called: "The Obesity Code" and "The Diabetes Code" the references of the book are worth reading as well.

Also, high uric acid will trigger the process which stores liver fat. This can be treated with Berberine, found in cruciferous veggies or reduce foods containing uric acid.