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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.

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“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.

For more Health articles, visit www.foxnews.com/health.

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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POST-DOSE PATTERN — New research reveals why the COVID vaccine can trigger heart issues, especially in one group

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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)

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HIDDEN LINK — A common dental health issue may hint at a dangerous cardiovascular condition

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

SUPER SPREAD — An “aggressive” new flu variant sweeps the globe as doctors warn of severe symptoms

The flu season has intensified as the new H3N2 variant causes severe illness worldwide. (iStock)

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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