Many of my patients came to their first visit in the clinic and told me they were “a ticking time bomb.” Men, especially, seemed to have a view of themselves as a collection of risks that, left unchecked, would, without fail, cause them to have an early heart attack. When I asked them about how dangerous obesity, specifically, was to them, many patients would tell me that it can take ten or twenty years off their life…unless I could help them. Which, of course, was why they’d come to see me.
In some cases, I agreed with them. They were thirty years old, weighed 400 pounds and had a medication list like a nursing home patient. Those guys, I worried about. But many of my weight management patients were 50-100 pounds overweight at age 50 and on just a couple medicines.