Thirty percent of the population in Texas is overweight or obese. The direct costs for preventive care, diagnostics and treatment for obesity, such as doctor visits and medications, in addition to the indirect costs that include lost wages and future earnings, are estimated to be $270 billion a year. Overcoming


Convenience foods:  fast food restaurants, processed foods, etc.
Increased portion sizes: as they say, “Everything is bigger in Texas”
Societal issues such as more time spent commuting, which can mean several hours a week spent in our cars, and post-Vietnam era thinking that encourages us to “live today without worrying about tomorrow”
Sedentary behavior, the 4 N’s: Nickelodeon, Nintendo, Netscape and Netflix.


As little as a ten percent weight loss would be of benefit for the following conditions affected by obesity: rheumatoid arthritis, osteoarthritis, gout, gallbladder disease, carpal tunnel syndrome, heart disease, hypertension, infertility, low back pain, sleep apnea, as well as others. It is amazing to think that a weight loss of only ten percent can make such a significant impact on the prevention and improvement of the above diseases.


So, how can we attack this disease? Yes, obesity is a disease, just as high blood pressure, diabetes, asthma and depression are diseases. As such, we need to treat it like one with diagnosis, management and monitoring. One of my objectives is to help my patients move away from thinking, “I am obese,” or “I’m fat,” which states. That they are obese both physically and mentally. On the contrary, they should be saying, “I have obesity, a disease that my physician and I are managing together. This is a very important concept because once you believe obesity is just a disease, you can detach yourself from. The emotion—past failures of weight loss and comments from family and friends—and start developing a successful plan to. Overcome it and control it.

Our comprehensive obesity plan is tailored to each patient’s specific health situation and may include medications, a custom diet, an exercise plan, laboratories, EKG and, most important, education and the close monitoring of obesity.

Call me for an appointment. Together we can start working on improving your health!

by Samuel N. Landero, M.D.

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