Diabetes, Weight Loss, Remission or Cure
Why bariatric surgery, fasting, and GLP-1 drugs can put type 2 diabetes into remission—and why the story is far more complex than sugar.
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Why Food Became Engineered to Defeat You
The food system was not engineered to make you obese. It was a result of natural selection at a grocery store. Truth is we need engineered foods
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Being a Foodie on a GLP-1
Why GLP-1 Made Me Love Food More—Not Less From beetroot pasta to backyard salsa, this wasn’t about eating less. It was about finally tasting more. I want to tell you about two people on a GLP-1. First, there’s me. I’ve been on a maintenance dose—7.5 mg of Zepbound—for a while now. And recently, I went…
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From Gila Monster to GLP-1 Revolution
From Gila Monster to GLP-1 Revolution In 1991, I left Seattle and moved to Phoenix to begin my career as a surgeon. In Seattle, hiking meant pine trees, damp trails, and reliable rain. In Phoenix, hiking meant bottled water and survival. The temperature could sit at 113 degrees at six in the evening. Sometimes the…
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Mexican Food Is Healthy. The Taco Took the Blame.
Mexican food isn’t unhealthy — American processing is. Real tacos deliver fiber, gut health, and Mediterranean biology in a corn tortilla.
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Why Fiber Fails to Impress—and Why That’s the Point Fiber has a public relations problem. Unlike supplements or extreme diets, fiber does not promise instant transformation. Instead, it works slowly, predictably, and quietly. Because of that, people rarely notice it when it’s doing its job well. However, that very boredom is precisely why fiber matters….
Read MoreHow GLP-1 Quiets Food Noise
Food Noise Isn’t Hunger — and Why Broccoli Never Fixed the Brain Food noise does not announce itself politely. Instead, it hums in the background, persistent and exhausting. For years, patients tried to describe it. Meanwhile, medicine largely ignored it. Recently, however, GLP-1 receptor agonists forced the conversation into the open. I did not understand…
Read MoreFood Pyramid Blues: Influencers are not Scientists
When Influencers Replace Scientists, Everyone Loses Every few years, nutrition gets a makeover.First comes a new graphic.Then comes a new slogan.Soon after, we hear claims that this time, someone finally figured it all out. Recently, that makeover arrived in the form of a “reverse food pyramid” and the cheerful phrase “Eat Real Food.” On the…
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Willpower Is B.S.: A Surgeon on Zepbound
Willpower Is B.S.: Food Noise, Healthspan, and What Actually Changed My Life For decades, I started every New Year the same way. In January, I promised myself this would be the year.By February, I tried harder.Every spring, I adjusted the plan.And by summer or fall, the weight crept back. That cycle repeated not because I…
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