Evade the Winter Holiday Blues

A prominent topic here has been our mouths, what goes into them, and what comes out of them. If only we could all make it through the holidays without hearing things we don’t want to hear, and especially, without saying things we shouldn’t say — what a bright world this would be!

Why, oh why, do people feel obligated to remark on the physical proportions of their friends and relatives who are only seen a few times, or even only once, per year? This brand of communication includes four basic categories:

Adult to adult

Grownups presumably have years of life experience and the advantage of at least some education to draw upon for conversational material. Why must they talk about each other’s appearances? And if they find the subject of looks inescapable, there are several possibilities other than people’s stomachs and rear ends. Hair, clothing, eyeglass frames, earrings, shoes, glitzy fingernails…

Even a positive remark carries the risk of being construed as negative. “You’re so slim!” could easily imply the hidden message, “Last New Year’s Eve, you looked like a blimp!” Why must body configuration even be a topic?

Adult to child

There is no compelling reason for an adult to mention a child’s body, and it’s even a little bit creepy. The worst-case scenario would be to admire the figure of a girl who is struggling with bulimia or anorexia. The danger of being an enabler of that kind of illness should be enough to keep any responsible adult quiet.

The possible exception would be a teenager who aspires to a professional athletic career and is in great shape. But if that is the case, they already know it anyway, and adulation from their peers means a heck of a lot more than a compliment from some random grownup. Rather than praise the physique itself, it would be more meaningful to praise the amount of dedication and hard work that obviously went into the attainment of it.

As for any denigration of a child’s body, there simply is no excuse. An adult who finds it impossible to avoid remarking on a child’s size should probably just go up to the attic or down to the basement and sleep it off.

Child to adult

Obviously, nobody can do much about what the kids, in the privacy of the TV room after dinner, say to each other about their moms, dads, siblings, aunts, uncles, and grandparents. And any parent whose kid would call an adult a hippopotamus to their face has more problems than we are equipped to handle here.

Child to child

Even the most beautifully raised children cannot help being exposed to the savagery of other people’s kids. We can only do our best, through conscientious and unrelenting example, to prevent our own offspring from either becoming the victims of monster children, or becoming monster children themselves.

Your responses and feedback are welcome!

Image by chas B/CC BY 2.0 DEED

Avoid the Winter Holiday Blues

The previous post finished up by quoting an officer of the National Obesity Forum who advises taking relatives aside at family holiday gatherings to discuss their weight problems and recommend intervention. And yet, many people hold a contrary opinion.

Just to pull one at random, Meredith Noble wrote an essay titled “Dear Non-Fat People.” It discusses the ignorance of fat-shaming someone with the excuse of concern about their likelihood of getting diabetes, etc., when in actual reality the overweight person might be healthier than the skinny critic. Noble also emphatically points out,

If you are overweight, it is impossible to exist in our society without the awareness that you are overweight… When you are overweight, other people’s judgment is constantly on your mind… If shame helped overweight people develop good habits, we would all be thin already.

So, anyone who has an irresistible urge to talk with a friend or relative about their weight might be well advised to at least put it off for a while, instead of spoiling the holiday celebration. The target of this concern will not be missing out on anything. They know.

The flip side

But even worse than the “concerned” discouragers are the encouragers and enablers. Some people’s notion of fun at a party is to cozy up to an overweight person and egg them on, getting some kind of twisted thrill from urging that person to eat more and richer treats. This is quite a reprehensible thing to do.

Dr. Billi Gordon, who weighed as much as several people, wrote for Psychology Today,

[A] single morsel of high-sugar and high-fat palatable food triggers binge eating in rats. Likewise, it only takes that “one bite can’t hurt you” of a rich dessert to trigger binge eating in compulsive overeaters.

Dr. Gordon was an expert on and a participant in holiday binge eating, and his words are quote-worthy:

It is a multifaceted, complex, socially encouraged pathological behavior. For normal eaters, holiday bingeing is circumstantial and not problematic, per se; for compulsive overeaters it’s a reoccurring nightmare.

Never one to mince words, Dr. Gordon also wrote this alarming explanation of how it all works:

It is like we all have the capacity for violence. That is not the problem. The problem is what external and internal cues cause us to access that capacity. For the gang kid, the symbol of disrespect can result in violent assault or death. For the compulsive overeater that symbol can cause compulsive overeating, which is just a differently directed assault and a slower death.

Under the wrong circumstances, and given the availability of calorie-rich food, probably almost anyone could, through compulsive eating, learn to mask and obliterate their feelings. So, let’s take the trouble to get some education and some therapy, and not let that happen. And when we meet up with others who have already fallen victim to compulsive eating, let’s try not to be the negative relatives, or even the slightly less toxic, ostensibly positive ones.

Your responses and feedback are welcome!

Source: “Dear Non-Fat People,’ Medium.com/09/08/15
Source: “Thanksgiving: Danger in the Brain,” PsychologyToday.com, 11/24/14
Source: “Christmas Cookie Blue,” PsychologyToday.com, 12/06/13
Source: “Symbolic Eating,” PsychologyToday.com, 11/23/13
Image by Tim Evanson/CC BY-SA 2.0 DEED

Avert the Winter Holiday Blues

Recent posts have a lot to say about the damage that can be done by mouths, both our own and other people’s. Some adults put intoxicants into their mouths, and unkind words come out. They have something to say about another person’s size, or their eating habits. Children, being such excellent mimics, can be just as rude without even taking a drink.

Often, hearers of those mocking and fat-shaming words become upset or “triggered,” and then proceed to shovel a large amount of food into their mouths, which ultimately makes the situation even worse. And of course, no parent wants to be ridiculed as an enabler who fattens children up as if to enter them in the State Fair’s giant pumpkin contest.

Why do they do it?

For an obese child, seeing relatives only once or twice a year can be a special kind of torment. It’s as if some people are robots, incapable of saying anything original. Their first remark is always size-related, and on a certain level, it really does not matter if the words are derogatory or complimentary. Without being able to sort out the thoughts and reactions they feel subconsciously, a child may still have an instinctive response along the lines of, “Who gave anyone the right to talk about my body?”

No one wants to feel like a piece of human merchandise up on the auction block, with their flaws and good points being discussed to influence the bidding. Even the least reflective child can detect the injustice. “Why is it any of her business what’s inside my clothes?” is one thought that comes to mind, or “We haven’t seen each other for a year, and that’s the conversation starter he has to lead with?”

To say, or not to say?

If each and every one of us could learn to bite our tongues and not repeat that fat joke at Cousin Lizzie’s expense, the world would be a better place, and even the impulse toward “positive” interference should be carefully considered. Whether the target is a child or adult, even the most kindly, well-meaning attempt at intervention will not be received with gratitude.

One year, the National Obesity Forum conducted a study to see how folks feel about telling others they are fat at Christmas. Here is an interesting detail:

Men find it hardest to tell their partners, while women were more worried about bringing up the issue with a friend.

Maybe, nobody should tell anybody anything. Maybe it’s simply not a discussion to have on this sort of occasion, especially when unasked for. On the other hand, Prof. David Haslam, the organization’s chairperson, says go ahead and be that dreaded bringer of bad news:

Suggesting to someone that they should consider losing a few pounds may not be a comfortable conversation to have. But if someone close to you has a large waistline then as long as you do it sensitively, discussing it with them now could help them avoid critical health risks later down the line and could even save their life.

Your responses and feedback are welcome!

Source: “’Tell loved ones they are overweight this Christmas’, BBC.com, 12/21/11
Image by FolsomNatural/CC BY 2.0 DEED

Abjure the Winter Holiday Blues

The types of social disorder mentioned in the last post prove that the mouth is the most dangerous part of the body. Our own mouths get us in trouble, and those of other people say things that cause us serious pain. In other instances, they don’t even need to use their voices. That sweater Aunt Georgie gave you, the Christmas when you were 10… Was its tiny size a pointed reminder of your extra pounds, or simply an “Oops!” from a nice lady with too much on her mind?

It comes as no surprise that adults are just as flummoxed as younger people are, by holiday family gatherings. Plenty of adults take on the role of director, deciding how everyone else ought to act and react during every moment. There is always one aged relative known as the most censorious and judgmental, and probably another famed as the eternal scamp who will never grow up.

Despite their seeming differences, it may be that neither one of them wants to continue as a caricature. Somehow they keep finding themselves inhabiting roles that nobody really wants — and meanwhile, their thoughts are identical: “Next year, how do I avoid this clown show?” Maybe they mean, “Could I simply neglect to show up, and get away with it?” Or perhaps they mean, “What must I do to become the person who can show up for this occasion, and handle it, next time?”

Other people’s mouths

For a child, the miseries of going out to somebody else’s house, or of being part of the host family, are probably about equal. Either way, the relative who loves to torment you will be there, pinching your cheeks and making snide remarks about dessert and portion sizes. Kids, you need to know that at this time of year, adults might do anything, especially at a large family gathering.

Some adults want to retain control by keeping the kids in sight at all times, as elaborate traditional role affirmations are played out. Or the grownups will go the other way and strive to keep the little kids in one space and the older ones in another, and all separated from the adults.

In fact, this is a great time to hit the parents up for some fancy delivered food, premium screen media content, or permission to use the car. As long as they are left alone to do their partying, they don’t care what the kids do, and children of all ages take advantage of this fact by extracting bribes. The corollary to that is, if overeating is their problem, young people who are vulnerable at any stage will certainly overeat during the holidays.

Your responses and feedback are welcome!

Image by JESHOOTS.COM on Unsplash

Beware the Winter Holiday Blues

The body part most closely associated with the winter holiday festivities is the mouth, and not only because of all the singing and eating. At any social gathering, there is generally quite a bit of loose talk, the kind that does damage. This is true of many different environments — work, school, and especially family gatherings. Is there anyone who has not been hurt or insulted by the words of some relative or family friend, at the exact time of year when everything is supposed to all be love and light?

Despite the common belief that nobody should be alone for the holidays, a lot of people would pretty much rather be on their own rather than put up with a lot of nonsense. They don’t want to hear about how overweight they look this year, compared to the same time last year. They probably don’t even want to commiserate with other parents about how difficult it is to keep the children from ballooning up.

A family get-together can turn toxic pretty fast. Children might face an excruciating dilemma, caught between two equally vital concepts. Your parents warn you there are certain kinds of kids you shouldn’t hang out with, because it can only lead to trouble. Then, you meet one or more kids that your personal spidey-sense tells you are bad news — except you have to hang out with them, because they are your cousins.

Enforced tribal cohesiveness

For many people of all ages, another unattractive aspect of a big family gathering is that you’re expected to stick with it for the duration. Some sensitive children get very unbalanced from being around too many people for too long. But to be separated from the grownups does not help, because some of the kids you get banished to the rec room with are obnoxious. At least an adult might go on a helpful or necessary errand, and make a temporary escape. A grownup can choose to drive away, or walk away, or find a place to be alone for a while.

A very clever grownup may engineer some quality time with a favorite relative while avoiding the less agreeable ones. It comes as no surprise that even super-sophisticated folk like psychologists, trained therapists, and clergy members can be thrown off their stride during the holidays.

The ordeal

Children are expected to be polite, good-natured, respectful, and most of all they are expected to cheerfully put up with personal remarks about their appearance. A lot of children and teens are defenseless against cruelty, especially from relatives. An overweight young person is aware that he or she will be critically scrutinized and discussed, and probably photographed for reasons other than a desire for fond memories.

What is worse — to endure this kind of discrimination alone, or as part of a group? There are family get-togethers where every adult considers it her or his sworn duty to issue an opinion about every single other person who is present — especially the kids. It’s as if critiquing each body, young or old, is their job, and they’re trying for a promotion. Somehow, you just know that Aunt Nell intends to go back home to her circle of evil witch friends and show everybody how much fatter her niece is today than a year ago.

Your responses and feedback are welcome!

Image by Ben Askins/CC BY-SA 2.0 DEED

Escape the Winter Holiday Blues

Around this time of year, Americans are likely to celebrate one or more of around 30 different religious and cultural holidays. Most of these festivities seem to involve gifts, merriment, and eating. Obesity and the holidays intersect in this “best of” compilation of some of the most inspiring and original ideas out there. Reminders are either paraphrased or quoted, of helpful ideas from Childhood Obesity News posts of bygone years.

The cold and calculating mechanisms of media advertising urge us to eat excessively, and to give other people excessive things, like chocolate-covered cherries or triple-dipped gingerbread, to eat. But it does not all stem from personal or corporate greed, oh no. People who urge you to eat until you get sick and hate yourself, operate from the most lovely and generous impulses in the world.

In their minds, what they want is for you to be joyful and happy, and they believe that an elevated calorie count equals bliss. They don’t understand, or pretend not to understand, or do not want to understand. Whatever the basic and basically well-meaning reason may be, the result is not good for us.

Good intentions

The holidays hold endless potential for trauma, most of it inflicted by people who sincerely want the best, and only the best, for us. Yet and still, harmful patterns from our childhood, and even our parents’ childhoods, leap out from behind the Christmas tree or down the chimney.

The varieties of awfulness are endless. Some parents start months beforehand, using the upcoming holiday as a truncheon or even a stun gun, administering threats and punishment. “I guess we’ll just tell Santa to skip this house this year. Nope, too late to apologize. Don’t bother looking all sad. You’ve gone and done it. No Christmas for you!”

Naturally, parents who do not want the next generation to inherit this kind of ugliness will go out of their way to create a good time, and that will probably involve a lot of treats. We need to take time to think more deeply, and find a better prescription for old wounds than “throw sugar at it.”

Look forward to non-food

In the old days, it was very easy for parents to keep young children away from unhealthful influences. Youngsters had no way to know what dangers they were protected from. Now, everybody has ways of knowing everything, and kids begging to go to 99 shows will run a parent ragged.

Good results might be had from planning that starts well ahead of the season. If there is a local events center or arena, a preplanned attendance at something really spectacular could help to dampen further demands. To see a live performance of The Nutcracker, a family doesn’t even have to celebrate Christmas. Such special occasions are cross-cultural.

How do we show children we love them without ruining their health? How do we restrain kids from accepting every offer of a free cookie or candy cane, without coming across like ogres? This next idea is hard and takes a lot of work and commitment, and it’s too late to implement it this year. But to have some say over what treats are served or allowed to be donated at your kids’ school next year, it might be worth joining whatever group has power over their school activities.

Your responses and feedback are welcome!

Image by Larry Lamsa/CC BY 2.0 DEED

Continuing Lifestyle Intervention, Part 9

This quotation, typical of many others, comes from Healthline:

Research has found that when people stop using semaglutide medications […] weight rebound occurs. Experts say this is because the drug is not a cure…

The author also adds, “and it does not prevent the metabolic adaptation that occurs during weight loss.” Just like in the aftermath of bariatric surgery, the patient will have to cope with the adjustments and compensations the body has made in an effort to get back to what it — rightly or wrongly — perceives as normal.

The term “the chronicity of obesity” has been brought up, and “chronic” is not a word we want to hear associated with any of our physical problems. It also is faintly reminiscent of a concept that Childhood Obesity News discussed at length — the Set Point.

It has been suggested that the Set Point is such a relentless foe, that it does not even stay faithful to its name, but sneakily persists in resetting itself, to an ever-higher figure of course. If the dreaded Set Point exists, then the subject of the present discussion, “continuing lifestyle intervention,” should necessarily be a part of just about everybody’s program, always. Anyone who finds the topic interesting can see more here, here, or here.

If there is such a thing as a set point, long-term maintenance would be impossible except for a small percentage of weight losers who are willing to devote to it a large percentage of their time and efforts.

The big question

One of the most important discussions to be had right now is, what to do about obese children and teens, and most of all, how to prevent them from getting that way in the first place. But, one thing at a time. For kids who are already over the line, they, their parents, and their medical advisors face a choice between surgery and meds. The trend toward favoring and recommending new weight-loss drugs seems so well-established as to be inevitable.

The biggest difference between them is that a whole lot is known about life after bariatric surgery, while not much at all is known about life after beginning one of the drugs. That lack of knowledge is true of patients who stay on the drug they are prescribed, and those who quit after a year or even a few months.

As for staying with a drug for several years or many years, a relatively minuscule amount of information has been collected. The only certainty is that everybody needs some help along the way, and most people succeed much better with continuing lifestyle intervention of some variety.

What has been the point of this series on continuing lifestyle intervention? To emphasize its importance of course, but more than that, to remind the Childhood Obesity News audience that there is an excellent tool for the purpose. We urge readers to check out BrainWeighve as a guide through the scary forest of continuing life.

It is for people who are actively working on breaking their addiction to overeating (and other things as well) and yes, even for people who don’t have an addiction-prone tendency and hope to avoid ever having one. It’s a flexible program, to participate in a little or a lot, as needed; both a tool for maintenance when things are going smoothly, and a staunch ally to do the heavy lifting when the train jumps the track and needs to be put back.

Your responses and feedback are welcome!

Source: “Ozempic Rebound: Why Most People Regain Weight After Stopping Semaglutide,” Healthline.com, 06/09/23
Image by Pam Lariviere/Public Domain

Continuing Lifestyle Intervention, Part 8

When a person has lost a fair amount of weight, or is still in the process, to have some kind of structure can be very useful, which is why Childhood Obesity News frequently recommends BrainWeighve. It offers a multifaceted array of helpful ideas, particularly for accountability, which is the type of support system a lot of us seem to need.

We like knowing that we are not alone in the struggle; and that others face the same challenges. We feel good about cheering them along while they in turn wave their imaginary pom-poms for us.

Of course, there are many programs. The Delight Medical and Wellness Center strongly makes the point that mutual support is healing. Sure, everybody needs to implement the obvious dietary changes, and to move around more. However, continuing lifestyle intervention is not just for people who need to be fixed, but for everybody all the time. Health requires:

Psychological changes: This includes changes to your attitude, your mood and the way you manage stress.

Some techniques have proven to work beautifully, over the centuries. Joining a support group helps you to stay connected with other people, and writing a journal keeps you in touch with yourself. Also, these wellness experts say,

Behavioral changes: While all lifestyle changes are technically behavior, this category refers to things like your sleeping habits, activity level and planning efforts.

This circles back to another reason to praise BrainWeighve: It is very big on planning. Making a plan is always good. That doesn’t mean you can’t revise it, put it off, or sometimes even abandon it if a better plan comes along. A plan is one of those things we recognize as “better to have it and not need it than need it and not have it.” A plan can be shared with others who seek inspiration, or with one’s own accountability partner.

Getting back to the words of wisdom from the Wellness Center, they suggest that one type of plan a person can make is, to carry out an effectiveness review of our habits:

This includes approaching each habit you have and evaluating the way it is impacting your lifestyle… Changing just one behavior at a time can lead to lasting changes in your life, and is much less intimidating than attempting to completely overhaul your current lifestyle.

Do our habits serve us? If not, out with them! The part of the mind that adopts habits does not really care if they are good ones or bad ones, it just likes the sense of order. So, might as well turn over the job to some smarter brain cells, the ones with the power to cultivate good habits. (More about habit gardening can be found here and here.)

The long and short of it is, there are very few people who would not benefit from continuing lifestyle intervention at any stage of their existence. That concept is, or should be, just as much about the mental and emotional stuff, as it is about the physical adjustments involved in losing weight or fending off its return.

Your responses and feedback are welcome!

Source: “Lifestyle Changes for Improved Health,” DelightMedical.com, undated

Continuing Lifestyle Intervention, Part 7

Most recently, we mentioned the sad statistics around weight regain after both bariatric surgery and semaglutide therapy. Everyone, it seems, is destined to suffer the rebound effect. Even former contestants who went through all the rigmarole of being on a weight-loss TV contest show, regain most of the pounds they so strenuously shed.

This post and this one illustrate how, with or without surgery or GLP-1 drugs, continuing lifestyle modification is the only road to ultimate victory. This is true enough of the pretty-well-functioning person, and even more so of a person who went into the adventure with a few issues.

For instance, there is the ever-elusive problem of patient compliance, which is never a given. Even after spending a tremendous amount of effort and money to achieve their results, people will backslide. Some will simply be unable to stick with the program because of the side effects.

Outside of the patient’s psyche, a lot of things can go wrong. With the drugs, supplies can be interrupted due to shortage of the product, world events beyond the suppliers’ control, catastrophic massive health emergencies like another pandemic, insurers going broke trying to fulfill their obligations, and uninsured patients being unable to keep up with the cost of the meds.

And, as must always be mentioned, not much information is available on the long-term effects of the meds. Even under the best conditions, neither surgery nor drug therapy is the perfect solution.

A shocker

At one point Dr. Pretlow attended a meeting of the Obesity Society where it was stated that weight loss with the GLP-1 drugs is just as good whether accompanied by lifestyle programs or not, which a member remarked was “jarring” for the majority of attendees to hear. A Cleveland Clinic article, however, affirms the righteousness of continuing lifestyle intervention:

Bariatric surgery requires a large change in lifestyle post-operative… An integral part of your decision to have safe weight loss surgery is the commitment to follow-up.

In other words, surgery is not a fix-it-and-walk-away proposition, and no one should expect embarking on a course of weight-loss meds to be that, either. In the realm of just plain obesity intervention, the American Gastroenterological Association’s weight loss guidelines include the caveat,

With no further treatment (or with infrequent follow-up meetings) patients typically regain one third of lost weight in the first follow-up year, with continuing weight gain thereafter. Patients, on average, return to their baseline weight within 4-5 years.

Your responses and feedback are welcome!

Source: “Life After Bariatric Surgery,’ ClevelandClinic.org, undated
Source: “Intensive Lifestyle Intervention for Obesity: Principles, Practices, and Results,” ScienceDirect.com, May 2017
Image by Orin Zebest/CC BY 2.0 DEED

Continuing Lifestyle Intervention, Part 6

The large question under consideration here is whether the seemingly miraculous new weight-loss drugs are enough, in and of themselves, to permanently and meaningfully change people’s lives. In this context, it was interesting to draw comparisons between committing to one of those drugs and submitting to bariatric surgery.

A brief digression

When surgery is the topic, Childhood Obesity News is not a big fan. Here is an excerpt concerning Dr. Pretlow’s attendance at the European Childhood Obesity Group Congress in 2014:

He was disappointed to learn that, rather than being viewed as an extreme measure and a last resort, especially for the young, bariatric surgery had become a treatment of choice. Nevertheless, the chair of the bariatric surgery session said, “Even gastric bypass surgery produces only a temporary remission” and noted that 25% of the adolescents who undergo gastric bypass surgery fail to lose weight and of those who do, 43% gain the lost weight back.

As this post has pointed out before,

[E]ven those who carefully follow all the rules can expect 20% to 25% of the lost weight to have returned, after 10 years. For someone who undergoes this kind of surgery at, say, age 20, this sounds rather grim. By age 30, they can expect to plump up again, only this time, there is no last-resort surgery to save them, because the most extreme measure has already been taken.

It looks like users of the new meds are finding themselves in the same position. Discussion brings up phrases like “the chronicity of obesity” — i.e. its tendency never to go away. In relation to the new meds, researchers from the University of Liverpool addressed the matter characterizing the rebound after withdrawal from semaglutide as “relatively rapid.” They also reported that…

[…] people who lost the most weight while taking semaglutide tended to then regain the most after stopping it…

In the self-improvement department, the person who went through bariatric surgery is not done. They still have to carefully manage their nutrition, even more so than other people. The post-bariatric surgery diet is a lot of work, and then when the “new normal” condition stabilizes, the surgery has still caused anomalies that the body will need to compensate for somehow. And the patient still requires the other five components of lifestyle medicine: physical activity, stress management, restorative sleep, social connections, and avoidance of risky substances.

Why would people on the hot new meds be any different? Each and every one, if granted the chance and blessed with the desire, can still reap massive additional benefits by not “leaving well enough alone.” Whatever the medication is doing for a person, they can always wring more out of the experience. All it takes is to engage the body in an appropriate amount of activity; steer clear of the bad drugs, manage the stress, get enough sleep, and maintain healthy and nourishing social connections.

Your responses and feedback are welcome!

Source: “Bodyweight rebounds after semaglutide withdrawal,” MedicineMatters.com, 05/09/22
Image by Rune Mathisen/CC BY-SA 2.0 DEED

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Profiles: Kids Struggling with Weight

Profiles: Kids Struggling with Obesity top bottom

The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources