Why Will Doctors Rarely Prescribe Behavioral Change?

Except that exercise and diet don't lower insulin resistance and the weight comes back as soon as you stop. Ozempic does.

Don't dismiss medication like this. It's not just easier for the doctor to prescribe, it's also easier, if not downright doable for the patient. Someone who has a full time job and possibly a family doesn't have the energy or the time to do 90 minutes of aerobic exercise five days a week that are needed to have any impact on insulin resistance.

Also, if I had a penny for every response that said "you can't" each time someone asked if they could treat their ADHD with supplements, I'd be rich. This "big pharma is making money off of us" mentality actually hurts those people as they keep wasting their lives trying out things that do not work while they have extremely effective meds at their disposal. Sure, exercise helps, but you need to be able to actually have motivation to exercise regularly, and not get bored of it after a month.

For the majority of history, finding an easy way to work less was evolutionary advantageous (even now it gets rewarded). Consuming salt, fat, and sugar was evolutionary advantageous. A solution needs to be implemented at a societal level instead of just shaming people for following their biological programming.

I saw a meme of a doctor telling his patient "all your health problems can be fixed with a healthier diet and exercise. Here take these pills"

There’s no money in healing just making people more sick makes money! I’ve disagreed with this approach my entire life. Doctors could change this.

Correct 1000%!

Patients don’t want to hear it and don’t want to do it. I’m a retired physician and I can confirm, patients do not take that advice, when offered.

There is another problem here. Diet and exercise are not intuitive for a lot of people. They need help learning how to eat healthy, they need to be taught how to exercise with proper form to prevent injury. Some people need that professional support to help them get started, or even keep going when times get difficult.

However, dietitians and personal trainers are EXPENSIVE to hire out of pocket. Personal trainers and gym memberships aren't covered by insurance, and dietitians are only sometimes covered.

So it's not only a "people won't do it." That is definitely happening, but there is also "people aren't being taught how."

Yeah, they could go to the internet for help, try to learn themselves, but there is so much conflicting information out there, and DANGEROUS information out there. Additionally, they still wouldn't have that extra support that another human being can bring them when they need help.

Yeah but healthy lifestyle changes don't makepharma and insurance companies rich so they lobby doctors and policy makers to push pharmacology and other expensive treatments rather than actually help people make real change.

Investment in behavioral change is mostly lost money. Any basic investir, or even doctor can tell that. Forcing people to change their behaviors without willingness is lost cause.

That and now it’s politically correct to say things like health at every size even if that size is nearly immobile

Look at that beauuutiful skin!! 👀🤩

This is why I'm looking forward to Kennedy getting confirmed for HHS. He's been an advocate for this for years.

So true and it so sad😢

Sincerely GO ROLLERSKATING! It's exercise that is actually fun.

Isn't an SSRI just a bridge to "go for a walk and eat some yogurt"? Ozempic is a bridge to "eat less garbage". Chantix for smoking etc.

I feel like there is a lack of emphasis on the bridge aspect of these pharmacological interventions. "I'll give you drug x so you'll adhere to behavior y."

It’s all about sales taxes profits that’s why preventing doesn’t fill pockets

And this honesty and humbleness is why I am a huge fan of you! You operate at a higher dimension bro ❤

Doctors always recommend behavioral change, we just don’t do it and then go back to get help again so they give us a pill

I'd love to be able to exercise. If anyone can come up with an effective exercise regime for somebody with osteoarthritis in their neck, spine and ones, osteoporosis in cervical and lumbar spine, inflammatory arthritis in hands and feet, chronic neck-induced migraines, high blood pressure and vertigo along other issues, hit me up! 🙄

I'm 9 days off tobacco and doing some calisthenics feel great 👌

BOOM BOOM BOOM. It's so simple; logical! Behavioral change is how the older generations made it. Oiy@