June 26, 2021
Since the beginning of the private practice as a board certified endocrinologist, Dr. Cadegiani believed that obesity is not a mere consequence of bad choices, and that health providers and organizations have always overblamed the patients for their state of obesity, implicitly meaning that they were weak of lacked ‘conscience’ on eating and sports habits. Because of his own history and the familial patterns of obesity, he always believed that obesity was predominantly genetic. The genetics behind obesity, which is now being over and over unveiled, and counts up to 70% of the cause of obesity, are able to make a person be very hard to resist to highly-dense calorie foods due to the enhanced chemistry activated in the brain when the person eats, which makes the person harder to resist, and, once started, harder to stop eating, to be more ‘efficient’ energetically, saving calories and avoid spending calories as much as the body can, in addition to several other mechanisms.
A real disease like obesity should be approached. Patients should take their own responsibility, the food chemical environment should become more friendly to help patients, not only by avoiding having tasty foods near them, but also by providing pharmacological help to make the weight loss process less painful. Over-efforts tend to lead to overcompensations afterwards, and for this reason the weight loss process should be as easy and should seem as natural as possible.
Recognizing obesity as an actual condition is the best way to beat fatphobia/obesophobia, because it removes the blame from the individual, which is what inherently happens in fatphobic/obesophobic situations. Understanding that treatments for obesity take time and can suffer relapses (which is quite natural and expected), and that patients are not guilty for their obesity opens our eyes to the correct rights they should have for larger seats and other types of priorities.