What if obesity were a symptom rather than a cause?
Adipose tissue is endocrinologically / metabolically active in ways that we are frighteningly aware of and likely in many ways that we aren’t. This talk wraps a bit of reality around the issues that health providers face using the traditional wisdom about diabetes and a one-size-fits-all-sizes approach to nutritional advice stemming from prejudice in Western medicine. I completely agree with Dr. Attia in that we have a lot to learn and must go where the science takes us. It makes sense to reassess causation when there are many roads to insulin resistance seemingly independent of obesity. At the end of the day, good advice may be two parts traditional wisdom + one part new understanding. What is abundantly clear is that no part of lifestyle-oriented disease exists alone, and that attention to diet without attitude, exercise, and environment usually leads to failure.
I was initially drawn to nutrition advice from traditional chinese medicine out of curiosity, and continue to learn more and more for the perspective. This is a great example: the perspective of causation related to internal disease processes, such as diabetes, seemed so utterly rational and inclusive that it complimented the firm– and maybe only partially correct– explanations that I learned in school. I was hooked by the logic and relevance to daily life. We are excellent at understanding the cellular mechanisms, but we still have a lot to learn about the endocrine system and feedback regulation over the course of a lifetime.