Obesity medicine physician at Tanner Clinic | Board-certified internist | @uofu fellow trained | @CreightonIM + @TCOM_UNTHSC alum | https://xitter.cf/t.co/7ApY4yR5Nd
Layton, UT
Joined December 2020
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A reintroduction feels appropriate.
I have a degree in nutrition, medicine, am internal-medicine certified. My practice focuses on dysregulated metabolism and the treatment of obesity and other weight-related comorbidities.
My goal is to help you understand what we now know.
Reading Die With Zero by Bill Perkins. The idea: money you die with is energy you wasted earning.
Invest in your health in your 20s-50s so you can actually do things in your 70s. Otherwise, you spend money later in place of time earlier.
Be intentional.
Medical trauma is one of the most preventable harms in medicine. Patients seek care, get shamed, and disengage. The problem progresses.
My approach: What led to this? What system helps? What else needs attention?
Behaviors matter. Blame doesn't help.
If you've ever cried in a doctor's office about your weight, you're not alone.
Many of my first visits include tears. I think that we believe seeking help indicates failure.
If you were struggling with asthma, we'd worry if you didn't get medical help.
Why is this different?
Of the top three people to engage with my content this past week, I was related to 100% of them.
That’s not often, but it is a reminder of the people who have made me who I am. Special shout-out to Mom and Grandma for always being there for me. Even now that I’m a “grown up.”
A lot of excitement right now around GLP-1 effects on vision loss (in particular NAION). Most of it is misplaced. There are risks for it, but those are hard to delineate from the risk factors that already contribute to NAION — the same metabolic risks that lead GLP-1 use.
Myth: eating well is expensive and time-consuming.
This bowl: ½ cup cottage cheese + ⅓ cup black beans, hit with Tony's.
185 kcal · 17g protein · 5.5g fiber · ~$0.60 · 3 minutes.
So easy a college student could make it. What's your go-to?
Lisa bought bigger shoes, thinking her feet were getting fat.
It was fluid and a heart condition related to her weight, but easily managed.
Specialists, echo, bloodwork — all "normal." Every doctor said the same thing: lose weight.
They saw a fat body and stopped looking.
The reversible kind of heart failure, missed for one reason. I wrote up the whole thing — what it is, why it gets missed, and what actually treats it: drreeschecketts.substack.com…
1820s, mortality rate was 35-40 years.
Food was organic, pasture-raised, non-GMO, pesticide-free, wild-game, without barcodes, labels, plastic packaging.
Then scienctific discovery and application exploded. Average life expectancy is now in the 70s.
Don’t be a caveman.
For the first time in 15 years, US obesity is falling.
39.9% (2022) → 36.4% (2026), per Gallup. Over the same stretch, GLP-1 use for weight loss went 3% → 11%, and diabetes diagnoses flattened after a 15-year climb.
We didn’t scold our way here. We treated a disease.
“Your A1c is controlled now, so you no longer meet criteria for the medication controlling it.”
Metabolic disease is the only chronic illness where getting better disqualifies you from treatment. Red card, payors. 🟥⚽
Last week marked the end of 24 years of school and training. There were highs and lows. My favorite was this final year in metabolic and obesity medicine with U of U Weight Management. Dr. Simonetti was incredible to work with. I’m excited to remain in this field moving forward.
Last week my cousin was playing lacrosse. Today, we’re glad he can walk.
For a very tense 12 hours, we thought we might lose him.
During my hardest days in residency, I would be grateful to not be the patients in the beds. Hospitals help dose perspective and build gratitude. – at Salt Lake City, UT
Low T is not to be ignored or skirted around. 85% of the time, it’s a sign of underlying disease that is driving the low T.
Whether you pursue TRT or not, at least figure out WHY it is low.
A colleague, Joseph Zucchi, PA-C, MPAS shared the following on LinkedIn. It is an extraordinary infographic. With his permission, I am sharing the file here for others.
Eating less, not more, was shown to decrease the aging pace in this multi-center trial. These were in normal weight to moderately overweight subjects (BMI 22-27.9).
I’d be curious how aging is slowed in those with excess weight.
In humans, calorie restriction slows biological aging pace by ~2–3% over 2 years (CALERIE trial)
nature.com/articles/s43587-0…
Had a great time visiting with Dr. Nessim on his podcast 🎤 instagram.com/reel/DWGHw66DA…
