Medicalizing Obesity; An Upate on the Medical Approach to the Diagnosis and Treatment of Obesity

December 1, 2014


Mitchell R. Weisberg, M.D., M.P. 


Over the next several posts, I am going to update a document I first wrote in October 2006. My primary mission is to expose my readers, whether healthcare providers or laypersons, to the current state of the medical solutions for Obesity. Whenever I discuss the current medical approach to any aspect of the human condition, I replace the common phrase “state of the art”, with “state of our ignorance”. I want my readers to realize as I do, that nearly as soon as I understand and apply the current state of the medical science it becomes outdated if not completely obsolete, which is exactly as I want it to be. With everything I have ever learned about human health and medicine, there is one thing about which I will always be certain; we can always be doing better than what we are now. With that as my only disclaimer, I hope you find this update informative and useful.

Obesity the disease

If I had only one hour to save the world, I would spend fifty-five minutes defining the problem, and only five minutes finding the solution. Albert Einstein

So, while a medical evaluation of Obesity may begin with calculating a patient’s Body Mass Index, it certainly does not end there. To properly treat Obesity, one must first properly diagnose obesity, and this cannot be accomplished with a scale or a mirror. To know whether they are obese (as defined here), most Americans need a thorough history and physical examination by a competent healthcare professional. Only then can they seek solutions, medical or otherwise.

In the posts that will follow, I will show how the definition of Obesity, as I laid it out here, serves as a guide in the medical evaluation (history, physical examination and ancillary testing) and ultimately the medical treatment of Obesity.

End Post

Mitchell R. Weisberg, MD, MP

Internist-Psychopharmacologist-Corporate Wellness Consultant

Founder-CEO and Personal Physician at,

Optimal Performance MD LLC



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