Weight Resistant or Weight Prone? We’re all in it together.

Could it be that simple?  Are some people just born with bodies that resist gaining weight and other people destined to be overweight?  Yes!!

66% of adults are now overweight or obese in the US and the fact is that the weight resistant portion of our population is now the minority.   Studies published over the past several years have increasingly identified biologic factors that determine whether people are weight resistant or weight prone.  This research shines a welcome bright light on the causes of Diabesity (the combined epidemics of Obesity and Type 2 Diabetes).

Estimates are that by 2020 as many as 60% of US adults will suffer from Pre-Diabetes or full-blown Type 2 Diabetes.  The combined epidemic of Diabetes and Obesity affects us all. Chances are someone you care about suffers from these problems and, based on the statistics, it’s likely that any one of us could already be affected.

Why is this epidemic developing so rapidly?  It doesn’t take long to realize that there must be important reasons beyond the repetitive “bad eating habits” and “lack of exercise” explanation that has failed to change our trajectory, despite the fact that every overweight person has undoubtedly tried dieting and exercise…again and again.

Research is showing that weight prone individuals display a myriad of common hormonal imbalances that may influence energy level, hunger, satiety, cholesterol, blood pressure, exercise capacity and inflammation.  In weight prone individuals, the body stores excess fat because (false) signals are commanding it to do so.   We can’t deny these findings and facts.  It’s time to understand why abnormal fat storage happens in the body and we need to develop better methods to reverse the conditions and the epidemic.

But there is reason to be hopeful!  It is exciting to treat overweight conditions medically. The goal of treatment is not only to lose excess weight but to restore normal metabolic function, or at least improve that function.  We are very encouraged to see that after shifting toward weight resistant metabolisms by diagnosing and treating their underlying hormonal imbalances, a majority of our weight prone patients are losing excess weight, reducing disease risk and improving energy levels.  And, they’ve done it without dieting.  This is particularly hopeful, especially when research has consistently shown that metabolic function is most frequently impaired through dieting.

Emily Cooper, M.D.

9 replies
  1. Angela McGuire
    Angela McGuire says:

    Does fasting help weight prone people to lose weight if done in such a way that one does portion control after the fast?

    Please advise.

    Thank you.

  2. Raven
    Raven says:

    Hello, I heard you on C2C sunday night, I couldn’t believe my ears. You were talking about me. My God,
    someone who understands. I have dieted, exercised,
    ran, swam, starved,tried diet pills, water pills, nothing,nada, worked, nutrisystem, jenny craig, weight watchers, lean cuisine, liquid diets, everything. Diabetes drugs, everything, naturapathics, endocrinologists, on and on. Nothing. Thyroid pills even, nothing. Hi cholesterol runs in my family and the zetia etc does not work. I am borderline type 2 diabetes and have been on pills and shots. Nothing. The frustration is unbelievable. Even vegan diets did not work. I can only say you were amazing.

  3. Richard Pearson
    Richard Pearson says:

    When I watched your interviews on KING 5, especially the one with Jill Gardner and the 2013 one about why diets don’t work, I started crying. In your book and in your talks, you are describing me. What is amazing is that you are also describing so many others from athletes like Jill and me (who thought we were doing everything right) to people like Raven who have simply struggled with weight all their lives. Beginning the think of obesity as a medical condition and not a behavioral problem and understanding the underlying medical causes to our shared problem of disrupted metabolism is a huge contribution. Now if only there were a pill for this…… Please continue to get the word out, especially in the medical community.

  4. John L Gehringer
    John L Gehringer says:

    Obesity will never be fully recognized until our government and insurance companies fully recognize its’ existence as a disease like cancer and other potentially fatal diseases. Insurers rather pay to treat the other related medical maladies than to pay for the root cause. I applaud Dr. Cooper for her stance and refusal to allow the insurance companies dictate her practices. Obesity is seriously becoming an epidemic, and without recognition and treatment and will certainly spread and effect lives in future generations. With the understanding of obesity and diabetes, there is hope to salvage lives now and in future generations to come

  5. Emily Cooper, M.D.
    Emily Cooper, M.D. says:

    Fasting actually can make matters worse. I recommend eating all food groups every few hours, getting adequate sleep, avoiding chemical food additives and fueling any exercise properly. Once you have done these things, you are doing all you personally can aside from getting medical attention and a work-up for metabolic dysfunction. If you are healthy in terms of cholesterol, blood pressure, glucose levels and liver function then elevated weight alone doesn’t mean you are unhealthy!

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