I gained some weight during college, and I didn’t really notice until I had my pre-matriculation physical. My PCP just kinda shrugged his shoulders and said maybe that’s how my body type is. I knew that I gained weight because I was eating too much and dropped it. Had I thought it was out of my control I might have been a bit more nihilistic and kept the weight on. Of course there could some unknown zebra floating around, but the idea that a normal patient can’t lose weight through caloric restriction doesn’t really have evidence, seems to violate conservation of energy, and even worse is a common lay-person belief.

Of course this doesn’t mean you should hate overweight or obese patients or think that losing weight should be easy for them. We’re all creatures of habit, victims of a series of events, or however you wanna view it. But I think we do a bad job at communicating that people will lose weight through calorie restriction. Now, there’s obviously reasons why doctors are bad at communicating this, and maybe it should be more of a public health push, but I guess that another discussion.

Title: Thermodynamics

Patient: It doesn’t matter how much I eat, I can’t lose weight.

Paper News: Docter wins Nobel prize in physics, Law of Thermodynamics In Limbo.