Continuing Lifestyle Intervention, Part 8

December 8, 2023
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Do your habits serve you? If not, out with them! Continuing lifestyle intervention is not just for people who need to be fixed, but for everybody all the time.

Continuing Lifestyle Intervention, Part 7

December 7, 2023
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There’s mounting evidence that with or without surgery or GLP-1 drugs, continuing lifestyle modification is the only road to ultimate victory.

Continuing Lifestyle Intervention, Part 6

December 6, 2023
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The question is whether the seemingly miraculous new weight-loss drugs are enough, in and of themselves, to permanently and meaningfully change people’s lives.

Continuing Lifestyle Intervention, Part 5

December 5, 2023
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The program of lifestyle intervention that comes along with bariatric surgery or GLP-1 drugs is a “forever” kind of thing.

The Effects of Taking Weight-Loss Drugs

December 4, 2023
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In breaking news, Pfizer decided to halt the development of the twice-daily version of its experimental weight-loss pill due to serious side effects.

Can You Stop Taking Anti-Obesity Drugs?

December 1, 2023
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The debate centers on whether treating obesity as a chronic disease means patients should remain on these drugs long-term or if they can eventually stop.

Goodbye to Addiction? Continued

November 28, 2023
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Many people already regard semaglutide as The Answer to obesity, and there is a new wrinkle in the narrative.

Goodbye to Addiction?

November 27, 2023
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Some experts lean into the idea that some people’s brains just have “different wiring” which is responsible for various brain disorders, including addiction.

The New Drugs and Unforeseen Consequences, Continued

November 24, 2023
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Death and drinking are two more areas that interact with GLP-1 drugs and their cousins. But failing to treat obesity can also lead to suicide.

The New Drugs and Unforeseen Consequences

November 22, 2023
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A discouraging number of lawsuits involving the new weight-loss drugs are currently underway, with potentially thousands more waiting in the wings.

Induced Gambling Addiction

November 21, 2023
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A book on gaming addiction examines the moral, social, and emotional ramifications of a certain genre of electronic games.

Continuing Lifestyle Intervention, Part 4

November 20, 2023
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To lose weight and keep it off, one has to make lifestyle interventions become the lifestyle, and to accomplish that is a lot more difficult than it sounds.

Continuing Lifestyle Intervention, Part 3

November 17, 2023
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Can the GLP-1 drugs cure obesity once and for all, and can they possibly do so in the absence of continuing lifestyle intervention?

Continuing Lifestyle Intervention, Part 2

November 16, 2023
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Lifestyle medicine is definitely not an afterthought or an inconsequential footnote to treatment. All the six types of intervention are important.

Continuing Lifestyle Intervention, Part 1

November 15, 2023
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Now is a good time to look into how continuing lifestyle intervention pairs up with surgical intervention.

New Drugs — Does Lifestyle Intervention Still Count? Part 8

November 14, 2023
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Some people benefit from help for the rest of their lives, and there is nothing wrong with that. The need to manage substance abuse is continuing and ongoing.

How to Help an Addict

November 10, 2023
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Nobody chooses to become an addict, although once that happens, the disease will convince them that the condition was always inevitable.

In Search of Addiction’s Roots, Part 8

November 9, 2023
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One of the murkier areas of addiction theory is how it relates to the basic biological drives inherent in an organism. Let’s take a look.

In Search of Addiction’s Roots, Part 7

November 8, 2023
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Often, success depends on the person being prepared to jump in there with a positive displacement behavior to take the heat off.

Do Some Doctors Sabotage Obese Patients? Continued

November 7, 2023
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It’s time to get on board with the idea that obesity is just another chronic noncommunicable disease, and people should have a choice in what to do about it.

Do Some Doctors Sabotage Obese Patients?

November 6, 2023
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No conscientious medical professional should plunge right in by suggesting that you lose a few pounds. Here’s why.

Obesity As a Science Fiction Plot

November 3, 2023
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With COVID-19, the disease is caused by a particular virus, and that’s an epidemic. But with obesity, the old multi-factorialism comes into play.

Views on New Drugs Vary

November 2, 2023
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The new weight-loss meds do not treat the root causes of obesity, just like asthma drugs don’t treat air quality and pain relievers don’t prevent injury.

Maverick MD on Privilege, Continued

November 1, 2023
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Dr. Yoni Freedhoff proposes that the idea of holding patients entirely responsible for managing their own weight loss is unrealistic.

Maverick MD on Privilege

October 31, 2023
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Today, almost every aspect of the culture, in almost every corner of the world, tells us to eat eat eat.

New Drugs — Does Lifestyle Intervention Still Count? Part 7

October 30, 2023
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In weight loss for health, two things are clear: Long-term sustainability is the prevention of relapse, and relapse avoidance is long-term viability.

New Drugs — Does Lifestyle Intervention Still Count? Part 6

October 27, 2023
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Research shows that intensive lifestyle intervention, followed by tirzepatide, has about the same effect as the first year following a sleeve gastrectomy.

New Drugs — Does Lifestyle Intervention Still Count? Part 5

October 26, 2023
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To put it bluntly, weight loss drugs don’t work unless the patient is also involved in some aspect of what the drug makers define as intervention.

Displacement and the Crucial Switch

October 25, 2023
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A universal treatment for addiction may be feasible. The displacement mechanism might serve as the basis for such a unified theory of addiction.

New Drugs — Does Lifestyle Intervention Still Count? Part 4

October 24, 2023
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Do the new, remarkably effective GLP-1 obesity medications eliminate the need for obesity interventions such as the BrainWeighve app?

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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:


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.

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