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Weight-loss medications are not effective without ‘nutrition therapy,’ experts say

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Weight-loss medications are not effective without ‘nutrition therapy,’ experts say

People who are on weight-loss journeys should not rely solely on anti-obesity medications, according to a statement from a national nutrition association.

The Academy of Nutrition and Dietetics released the statement on March 4, which is World Obesity Day.

“The academy calls on the medical community, including pharmaceutical manufacturers of anti-obesity medications, obesity medicine providers and other health care practitioners specializing in obesity, to enhance the efficacy of these medications and maximize patient success rates by including a referral for medical nutrition therapy from a registered dietitian nutritionist alongside prescriptions for anti-obesity medications,” said Dr. Lauri Wright, PhD, president of the Chicago-based academy.

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“The anti-obesity medications alone will not end obesity unless they are combined with a collaborative, interprofessional approach that includes policy changes to reduce health inequity and disparity,” she also said in the release. 

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In a statement to Fox News Digital, Wright emphasized the need to overcome obstacles to obesity treatment. 

People on weight-loss journeys should not rely solely on anti-obesity medications, a national nutrition association said on Monday, March 4. (iStock)

“We must reevaluate how we treat and prevent obesity by increasing access to nutritious food and for health insurance plans to cover nutrition services,” she said. 

“Medical nutrition therapy and intensive behavioral therapy provided by a registered dietitian nutritionist are both proven and cost-effective.”

The Academy of Nutrition and Dietetics released its statement on March 4, which is World Obesity Day. “We must reevaluate how we treat and prevent obesity by increasing access to nutritious food and for health insurance plans to cover nutrition services,” the president of the group said.  (iStock)

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Semaglutides, a class of medications known as GLP-1 receptor agonists — including Ozempic (prescribed for diabetes management), Wegovy (prescribed for weight loss), Rybelsus (type 2 diabetes) and Saxenda (weight loss) — have been spiking in popularity in recent years.

The number of people in the U.S. using GLP-1 agonists for either diabetes or obesity reached 40 million in 2022, research has shown.

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In the academy’s statement, Wright referred to obesity as “a complex, chronic and progressive disease associated with serious complications and risk of mortality.”

“Recognizing World Obesity Day during National Nutrition Month is an opportunity to reevaluate how we best utilize anti-obesity medications to ensure that every patient has access to both lifestyle interventions and safe and effective medications that can improve the health of many adults in the U.S.,” she added.

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Semaglutides, a class of medications known as GLP-1 receptor agonists — including Ozempic (prescribed for diabetes management), Wegovy (prescribed for weight loss), Rybelsus (type 2 diabetes) and Saxenda (weight loss) — have spiked in popularity in recent years. (Getty Images)

The academy said it plans to release a white paper in the spring, which will have detailed recommendations for lifestyle interventions.

Doctors share thoughts on the academy’s stance

Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, responded to the statement in a conversation with Fox News Digital.

“It is important that we put a spotlight on this huge burgeoning problem during World Obesity Day,” he said.

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“With over one billion obese people in the world and over a 40% obesity rate in the U.S., we have a huge problem.”

While Siegel is in agreement with the academy’s stance, he noted that not everyone with obesity needs to be on a weight-loss medication.

Obesity management requires a multi-pronged approach that combines proper nutrition and exercise — and takes psychosocial factors into account, one doctor told Fox News Digital. (iStock)

“The Academy of Nutrition and Dietetics is right to spotlight this, but wrong to imply that this shifting focus needs to include a prescription for an anti-obesity medication, presumably a semaglutide (Ozempic, Wegovy) or a tirzepatide (Mounjaro, Zepbound).”

Given the “tremendous shortage” of these drugs, Siegel warned that many diabetics who need them can’t get them.

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“And at the same time, not everyone tolerates them well, and we don’t have a complete handle yet on long-term side effects,” the doctor noted.

VIBRATING WEIGHT LOSS PILL COULD PROVIDE ALTERNATIVE TO OZEMPIC AND WEGOVY, RESEARCHERS SAY

“I certainly think they are useful — and can think of many situations where they decrease risks of heart disease, stroke, diabetes and cancer as well as the need for bariatric surgery — but they are surely not one size fits all and are mostly not first-line therapy.”

To promote healthy weight management, Siegel recommended increasing daily exercise and adopting a diet rich in vegetables and fiber and lower in “empty calories.”

“With over one billion obese people in the world and over a 40% obesity rate in the U.S., we have a huge problem.”

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Dr. Brett Osborn, a Florida neurologist and longevity expert, is a big proponent of semaglutide medications as a “highly potent” treatment in the fight against obesity.

“They are indeed the holy grail of modern-day medicine and will likely have a similar effect on worldwide health as the advent of antibiotics in the early 1900s,” he predicted to Fox News Digital. 

Osborn said he agrees with the academy’s recommendation.

“The management of obesity is complex,” he told Fox News Digital. “It is best done through a multi-pronged approach that emphasizes proper nutrition, exercise and psychosocial factors. One cannot anticipate long-term and sustainable results without all three.”

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To promote healthy weight management, a diet should be rich in vegetables and fiber, and lower in “empty calories,” said one physician.  (iStock)

Medications like Ozempic and Mounjaro have “changed the landscape of obesity management,” Osborn said. 

“By sending a robust satiety signal to the brain, these medications force the brain to ‘just say no,’ equating to a caloric deficit and weight loss,” he said. 

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“But absent exercise and a properly designed macronutrient-based food regimen with its full complement of protein, fats and carbohydrates, one may develop a relatively malnourished state … and a compromised immune system.”

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For this reason, Osborn recommended that medications like Ozempic and Mounjaro should always be prescribed along with nutrition and exercise counseling. 

Fox News Digital reached out to Novo Nordisk, maker of Ozempic and Wegovy, for comment.

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July 4 heat delays America 250 celebration as State Fair guests share love of USA

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July 4 heat delays America 250 celebration as State Fair guests share love of USA

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The Great American State Fair was postponed Saturday after multiple people reportedly fainted the day before, forcing thousands of visitors to pivot during celebrations for America’s 250th anniversary.

Friday’s medical emergencies required onsite attention as crowds flocked to the nation’s capital for Independence Day.

The fair reopened later Friday evening but was postponed again Saturday.

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Fox News Digital asked attendees what it took to get to the capital and what they made of the closure.

“We are so blessed to live in the best country in the world,” Whitney Thomas, a mother from North Carolina who traveled with her family for the Great American State Fair, told Fox News Digital Friday.

An arch across the street from a 110-foot “Freedom 250” Ferris wheel during final preparations for the Great American State Fair on the National Mall June 22, 2026 in Washington, D.C. (Al Drago for The Washington Post via Getty Images)

Despite the weather closure, she said her family was able to enjoy the State Fair Thursday evening and planned to wait out the heat in nearby museums until the fair reopened.

“I wanted my kids, who are 9 and 10, to be able to experience this with us,” she said.

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“You cannot tell me that America was won by shutting things down when it gets hot.”

Brad Shultis, a retired Marine who traveled from Stafford, Virginia, expressed frustration over the decision to halt festivities.

“You cannot tell me that America was won by shutting things down when it gets hot,” he told Fox News Digital.

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“It gets hot, and we shut it down because it’s hot? Who cares? If it’s too hot, stay home.”

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Shultis noted that he drove to Springfield and took the Metro just to be turned away right after buying lunch. He questioned the decision to shut down the celebration of America’s 250th anniversary, arguing that if people find the weather too hot, they should simply stay home or seek medical help rather than forcing a mass evacuation for those who spent time and money to get there.

Whitney Thomas brought her children with her from North Carolina to Washington to experience the historic event as a family. (Fox News Digital)

Wendy Lamb, who traveled eight hours from Connecticut with her family to support the state’s booth, noted that organizers were likely worried about the intense conditions and simply did not want visitors to suffer.

WHAT KILLED AMERICANS IN 1776? THE ANSWER IS DRAMATICALLY DIFFERENT FROM TODAY

While disappointed that her home state did not send official representation due to budget issues, Lamb and her fellow travelers refused to let the heat ruin their first trip to Washington, D.C.

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“We’ve had a really, really fun time so far,” added John, another member of the group.

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He said they plan to navigate the heat by moving from museum to museum and using the Metro system to stay cool until the gates reopen.

For these visitors, the setback was minor compared to the emotional weight of seeing the U.S. Capitol and the Rotunda.

Judy drove with her family from Connecticut to support the state after officials withdrew support prior to the fair opening. (Fox News Digital)

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“I mean, we are so fortunate we are free, and yet we have people out there that hate our country. … it’s very emotional,” said Pat Lamb, who fanned her face to stop tears welling in her eyes as she described the pride she felt for the nation.

The decision to close the fairgrounds aligns with severe weather protocols designed to prevent mass casualty medical events.

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According to the Centers for Disease Control and Prevention, extreme heat can quickly impair the body’s ability to cool itself, causing internal temperatures to rise faster than they can dissipate.

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When exposure to extreme conditions triggers a heat-related illness, symptoms can escalate rapidly from heat exhaustion — marked by heavy sweating, dizziness, nausea and fainting — to a life-threatening medical emergency, according to the CDC.

Brad Shultis, a veteran, was turned away just after lunch due to extreme heat  at The Great American State Fair. (Fox News Digital)

The most severe risk is heat stroke, which occurs when the body’s cooling mechanism fails entirely, potentially driving core body temperatures to 103 degrees Fahrenheit or higher within minutes.

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To prevent severe complications like permanent organ damage or death, the CDC advises that anyone exhibiting warning signs such as confusion, slurred speech or a loss of consciousness should receive immediate medical treatment.

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Public health officials urge individuals in high-heat environments to seek shade, stay heavily hydrated and identify air-conditioned cooling centers.

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The ‘1776 Diet’: What Americans really ate during the nation’s founding

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The ‘1776 Diet’: What Americans really ate during the nation’s founding

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Many of the American colonists’ eating habits have made a comeback in recent years. They ate minimally processed, locally sourced whole foods and regularly incorporated organ meats into their meals.

Livestock and many Old World crops had already been introduced to North America by European explorers and settlers during the centuries before the nation’s founding.

Early settlers adapted European cooking traditions using ingredients available in North America, the Center for the Study of the Presidency and Congress (CSPC) reported.

Indigenous peoples introduced corn to the colonists, and it became a core ingredient in many of their recipes. Beans, squash, and potatoes were among the other crops that became incorporated into colonial cooking, according to the CSPC.

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“Cornmeal appeared in dishes such as hasty pudding — a thick porridge similar to polenta — and johnnycakes, simple griddle cakes that were popular from New England to the South,” History Facts reported.

Cornmeal Johnnycakes, roast pork and cream cheese are distinctly early-American foods the CSPC has recipes for on its website.

Corn became a staple of early colonists’ diets after Indigenous peoples introduced the crop to the settlers and taught them how to cultivate it. (iStock)

Regional customs and crops greatly influenced what the colonists ate. Rice and okra grew well and were plentiful in the South, where French and African influences also shaped eating habits. 

Dutch, English and German immigrants largely settled in the north and established the region’s culinary traditions.

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Seafood such as rockfish and crab dominated the diets of early Maryland settlers, NPR reported.

Meat was a status symbol, local food historian Joyce White told the publication. Beef was prized, and chicken was often saved for egg production.

“If it’s your pig or cow coming from your plantation, you don’t want to waste it,” White said.

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Thomas Jefferson was known for his decadent tastes and a fondness for French wine and macaroni and cheese. Records show that black-eyed peas, turnip greens and ham were also part of the Founding Father’s diet.

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Salted and preserved fish and meats, including bacon, sausage, liver pudding and offal, were staples of working-class people’s diets, while the upper classes indulged in such luxuries as white flour and sugar.

Interest in these traditional foods has resurfaced in recent years as some Americans seek diets centered on whole, minimally processed ingredients.

Founding Father Thomas Jefferson was known for his continental tastes and enjoyed French wine and macaroni and cheese. (iStock)

Advocates of the Make America Healthy Again movement, for instance, have promoted organ meats, or offal, as some of the cheapest and most nutrient-dense foods people can eat.

Stews that evolved as ingredients became available were also common an America’s early days.

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The amount of alcohol the colonists consumed was “staggering,” Adrian Miller, author of “The President’s Kitchen Cabinet,” told NPR.

“They were very open about how much they were drinking,” he said.

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George Washington wrote a recipe for “small beer” in a journal he kept as a young colonel in charge of the Virginia militia during the Seven Years’ War, Fox News Digital previously reported. The New York Public Library houses the journal.

“Small beer,” according to the library, derives its name from the small amount of alcohol it contains. It was quick to make, safer to drink because the brewing process helped eliminate bacteria in the water — and it was an “everyday, mainstay beverage,” the library reported.

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“While the 1776 Diet has some positives — such as emphasizing whole foods, home cooking and fewer ultra-processed foods — it’s not one I’d recommend following too literally,” registered dietician Lisa R. Young, adjunct professor of nutrition at New York University, told Fox News Digital.

Working-class colonists would often save chickens for their eggs, rather than consuming their meat. (iStock)

“Colonial Americans often ate foods like salted ham, organ meats and other preserved meats out of necessity,” she said. “Today, we know it’s best to limit processed and cured meats because they’re high in sodium and saturated fat, and organ meats, while nutrient-dense, are best eaten in moderation due to their high cholesterol content.”

Focus on the healthiest aspects of the 1776 diet, Young recommended. That includes plenty of fruits and vegetables, beans, whole grains, fish and lean proteins.

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“Of course, you can emulate the Founding Fathers’ diet for the week of the 250th anniversary,” she said. “What you eat for a day or a week won’t matter much in the scheme of things.”

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Some of the Founding Fathers drank a lot of ale, often in the morning, Young noted.

“We shouldn’t emulate that,” she said.

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Fourth of July fireworks pose hidden health risk for certain Americans, experts warn

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Fourth of July fireworks pose hidden health risk for certain Americans, experts warn

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Fireworks have been a quintessential part of Fourth of July celebrations across the nation for generations.

But as Independence Day festivities light up the night sky, the colorful displays can also pose serious health risks — especially to the lungs.

Nearly 300 million pounds of fireworks are released into the atmosphere each year in the U.S., according to the American Lung Association. This creates smoke filled with tiny particles, as well as gases like sulfur dioxide, carbon dioxide and carbon monoxide, which are “very harmful to our lungs.”

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The smoke from fireworks can also release harmful metals, like aluminum, manganese and cadmium, into the air.

Some illegal fireworks may contain lead, which the association describes as “extremely dangerous” due to its potential to cause lasting health damage.

Attendees watch the Independence Day fireworks display along the National Mall in Washington, D.C. (Probal Rashid/LightRocket via Getty Images)

“Inhaling any of these chemicals can irritate the lungs, making it hard to breathe and causing serious health problems, which is why it is important to avoid firework smoke whenever possible,” the group said in a public advisory.

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Air pollution levels increase by an average of 42% on the Fourth of July, according to a 2015 study.

Smoke from fireworks can worsen symptoms and cause flare-ups in those who have asthma or chronic obstructive pulmonary disease (COPD).

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Fine particle pollution has also been linked to more serious health consequences, including heart attacks, stroke, lung cancer and premature death, according to the American Lung Association.

The organization warned that children, older adults and pregnant women, as well as people with lung and heart disease, are especially vulnerable.

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Smoke from fireworks can worsen symptoms and cause flare-ups in those who have asthma or chronic obstructive pulmonary disease. (iStock)

Dr. Afif El-Hasan, member of the Lung Association’s board of directors, shared some advice for high-risk fireworks spectators in an interview with Fox News Digital.

Instead of using fireworks at home, El-Hasan recommends watching them from a distance.

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People with asthma who use a rescue inhaler should keep it close at hand in case fireworks trigger wheezing or other symptoms, the expert advised. Wearing a well-fitting N95 mask can also help reduce exposure to fine particles from fireworks smoke and debris.

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“If you are familiar with the area and the wind patterns, try to be upwind from the fireworks display and avoid areas where smoke may accumulate,” he said.

An expert recommends watching fireworks from a distance to avoid exposure to air pollution. (iStock)

The expert also recommends attending fireworks events with friends or family, so someone is available to help if a medical emergency arises.

“Make sure you have taken all of your preventative medication before a fireworks show,” El-Hasan advised. “If possible, take a car to the fireworks display. Try to park as close as possible to the event in case you have to get to the car quickly.”

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The expert also recommends drinking water immediately after the show to clear the upper airway. Changing and washing clothes upon returning home can also help to prevent smoke particles from accumulating in the home.

If case of shortness of breath or chest pain, it’s important to seek medical care immediately.

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