[quote]gswork wrote:
Professor X wrote:
O Doyle_Rulez wrote:
uh, your a doctor and it’s never once occurred to you that some people may just be fat/obese from taking medicinal steroids??? my friend was on prednisone on and off for a long period of time due to asthma when he was young and he gained a crapload of weight because of it, so its not always about how much cake or donuts they’re stuffing their faces with.
Do you realize that patients are asked several times during treatment about their medical histories where their medicines taken are listed? The majority of the obese people I have treated in the past 6 or 7 years have NOT been on corticosteroids for asthma or for any other reason. The majority of them do seem to have diabetes and are taking insulin along with high blood pressure medication.
Not only that, but how many times have I written in this thread about medical conditions? Do you think the majority of MORBIDLY OBESE people are all on corticosteroids?
I mean, you must think that in order to write what you did as if medical offices around the country are being filled with obese people all because of asthma and allergy treatment.
In any case they dont make one fat. I have had to take courses of corticosteroids for other reasons in the past more than once. It does reduce muscle mass and strength unfortunately, and it can make body composition favor fat - but to get obese on them requires those donuts all the same.
i can see how being on them a long time and not adjusting eating or activity to account for the composition changes could lead to incremental fat gains and have sympathy for this, but not somehow lead to ‘accidental’ obesity of the “oops, i woke up with morning and weigh 500lbs” type.[/quote]
I took corticosteroids in high school for severe allergies and never got fat from them. Some people find an excuse for everything…but OBESITY does not happen by accident unless you have some disease like Prader-Willi which causes a person to feel insatiable hunger no matter how much they eat but is associated with mild retardation:
I am not sure what any of this has to do with the massive number of people on insulin simply because they won’t lose weight and exercise.