Gregory Dodell, M.D.
@DodellMD
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Central Park #Endocrinology. Opinions are my own
NYC
Joined August 2010
Carbs are the main source of energy for the body. Eat them (diabetes or not). Enjoy them. Listen to your body for what it needs and likes.
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Stress changes our hormones. This is meant to be a short term response to protect us...chronic activation of this system can have health consequences. Managing stress is a lofty goal for our mental and physical well-being.
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There are fat people everywhere...and also thin people, tall people, short people, etc. These are descriptive terms and do not provide insights into health status.
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Our body will look and feel different over the course of a lifetime. That is reality. It may be hard, but there is power in acceptance.
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There are a lot of smoke and mirrors in the Wellness industry. Be cautious with who/what you entrust when it comes to your body.
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Unfortunately cost is a major factor in healthcare...including being able to take medications as prescribed.
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All or nothing mentality often results in mental and physical distress. Aim for sustainable health promoting behaviors with the goal of long term mental and physical fulfillment. And, don't be too hard on yourself.
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Let's be clear, PCOS is about a lot more than fertility...that may not be the goal for many and solely focusing on that can miss the mark of helping someone feel better.
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Hugging yourself actually feels pretty good. There are mental and physical health benefits to hugs. Give yourself a self-love hug now...highly recommend. Five stars. Let me know how it goes.
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So much food talk is dominated by its potential impact on weight...how wonderful would it be to be present and discuss its wonderful essence to bring us pleasure, experience culture and nourish us.
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Let's talk "nutrition" and "movement" rather than "diet" and "exercise." Semantics matter. Culture matters.
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Research demonstrates that exposure to weight loss content via social media was associated with lower body appreciation and disordered eating. Body positive content did not have a protective effect. Ongoing efforts are needed to change the narrative. Health is on the line.
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People in pain are denied orthopedic surgery based on body size but are cleared for weight loss surgery...medicine must adapt to it's patients, not the other way around.
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Research from over 2 million people demonstrated an increased prevalence of diabetes from 2015-2020 amongst lean individuals (BMI<25) and no change amongst those at higher BMIs. Diabetes occurs across the size spectrum.
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Measuring someone's height and saying you should weigh "x" seems ludicrous and can be problematic.
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The gut-brain connection seems intuitively rational; of course our physiological and emotional needs/states would play a role in how we nourish ourselves. Research is demonstrating that it's not a one way relationship. We are complex and fascinating beings.
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Take a moment to think about what our bodies go through on a daily basis (or throughout our lifetime). Pretty spectacular. Perhaps the focus should be on supporting and embracing them rather than trying to change or control them. Maybe, take a pause now and thank yours.
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Research demonstrates that nearly 60% of adults with type 2 diabetes and nearly 80% of those with type 1 diabetes have experienced some form of diabetes related social stigma. Stigma is harmful. Don't do it.
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Endocrinologist testified that: Weight stigma causes people to avoid going to the doctor and having preventative health screenings.
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Clinicians, one of our best diagnostic tools is listening to our patients. We often don't have shared lived experiences.
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