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Finally, there remains "ongoing weight bias and stigma among the public, and in particular, among healthcare providers, with the misconception that obesity is a personal failing or matter of willpower, or ultimately a fault of the child and parent," Armstrong said.

However, that is simply not the case, she noted, pointing out that obesity needs to be treated via the same model as other chronic diseases, accounting for remissions, relapses, monitoring, and ongoing care.

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double aught said:

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So how do you recommend helping the people who don't have the willpower or don't make good choices?

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AGGODDESS said:

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Just curious -- when you were 12, how did you get to the store to make selections of groceries as well as purchase them (and with that money) without adult supervision? Also, I'd like to know your workout regimen at 12 years old!

There are a plethora of physiological issues, underlying hereditary issues, and autoimmune disorders that often go undiagnosed, making the "100% willpower" thing not applicable for many individuals, particularly those overweight and obese. Not everything has to be "someone's fault...." IMO.

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KidDoc said:

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If your teens are struggling with weight, Wegovy was just approved for 12+ yesterday for weight loss 12+. The data is very promising and it is exciting to finally have something beyond diet & exercise to manage this very common problem.

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Finally, there remains "ongoing weight bias and stigma among the public, and in particular, among healthcare providers, with the misconception that obesity is a personal failing or matter of willpower, or ultimately a fault of the child and parent," Armstrong said.

However, that is simply not the case, she noted, pointing out that obesity needs to be treated via the same model as other chronic diseases, accounting for remissions, relapses, monitoring, and ongoing care.

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AAP Guidelines: 'Watchful Waiting' No Longer the Right Call for Child Obesity | MedPage Today

Executive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity | Pediatrics | American Academy of Pediatrics (aap.org)

Wegovy was life changing to me as a 50 year who was a fat little kid. I believe in this treatment so much I bought stock in Novo nordisk. Now the big fight will be getting the price down and getting insurance to cover it. Right now medicare/medicaid refuse to cover any medication for weight loss period as they think it is cosmetic only. Commercial insurance is hit or miss depending on the details of each policy.

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KidDoc said:

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If your teens are struggling with weight, Wegovy was just approved for 12+ yesterday for weight loss 12+. The data is very promising and it is exciting to finally have something beyond diet & exercise to manage this very common problem.

Finally, there remains "ongoing weight bias and stigma among the public, and in particular, among healthcare providers, with the misconception that obesity is a personal failing or matter of willpower, or ultimately a fault of the child and parent," Armstrong said.

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KidDoc said:

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Doctors have been encouraging lifestyle changes for obesity for over 40 years. It is clear it is not working. Read the study that got this approved. Both groups had dietary and lifestyle coaching but the treatment group lost weight and the placebo did not.

The status quo for obesity treatment is clearly failing. Anyone who considers medications has already tried, usually for years, to lose weight through behavioral modifications and have failed.

Insurance coverage is going to be an interesting battle for sure.

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Hoosegow said:

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The first rule they teach you in medical school is that the first person you cure is the first customer you lose. It is very profitable to push drugs and constant medical monitoring. It creates a reoccurring source of income for doctors and drug companies.

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