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Topic : 08/07 Big Burden

Number of Replies: 365
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Created on : Friday, April 21, 2006, 10:21:06 am
Author : DrPhilBoard1
(Original Air Date: 04/27/06) Morbid obesity changes the dynamic of two entire families … and tears them apart. DeeDee weighs over 700 pounds and hasn't left her house in more than a year. She has become a burden to her friends and family by constantly demanding their help and company. Is DeeDee ready to get real and make a change, or will she continue to blame her weight gain on other circumstances? Also, her children explain why they resent their mother and feel hostage to her demands. Then, MaLynn is only 14 years old, but she already weighs 419 pounds, and her obesity is causing problems in school. Her mother, Shari, admits she can't say no to her daughter when it comes to food. Dr. Phil shows MaLynn how she can easily lose 86 pounds, and he gets this mother-daughter team to work together to save their relationship and their lives. Talk about the show here.

Find out what happened on the show.

More August 2006 Show Boards.

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April 26, 2006, 3:12 pm CDT

04/27 Big Burden

Quote From: tshep30

I too struggle with weight.  Not 700 pounds but over 200.  I get so tired of skinny people talking like it's so easy just don't make bad choices.  Just like it would be easy for me to stop smoking because I never have so I wouldn't understand the addiction. People who are overweight didn't get there because they have the metabolism of a marathon runner like some skinny people.  There are so many facts and reasons people gain the weight they do.  Unfortunately, you can't just quit eating like you can quit smoking.  It's about support, getting to the root of the problem, and LOTS OF EDUCATION!   

Plus, I've seen many thin people at McDonalds.  And they look at you like you shouldn't be eating that stuff.  It's quite annoying.  Just becuase you are skinny doesn't mean you're healthy.  In fact you can be obese when you are skinny.  It means you have more body fat than muscle mass.   

Personally, I'm not fat, I'm big boned.   heee hee  

I'm not sure if you were just being cute, since it's hard to tell tone on the internet...But I want to be clear. I am NOT excusing obesity.

I am not one of these people who believes that some people have "metoblism of a marathon runner"...the people who DO ARE marathon runners.

I used to be very bitter towards my little brother who I thought was lucky and skinny and could eat whatever he wanted. When I started to learn about calories I asked him if I could moniter his diet for a couple days.

He didn't eat any more then most people. He didn't eat healthy but he only ate 2600 calories.  The difference is that he has a job where he works with his body for 10-12 hours.  He's not "lucky"...he earned being thin.

I get the same feeling when I to to burger joints...and no people shouldn't be making remarks or giving looks but there are 2 things I want to say about that:

1-It's quite possible it's in your head. You might feel so guilty about eating that food that you project your own self disgust onto other people

2-Maybe, if it's not in your head, they have a point! I know I don't need a bigmac. I know that I am already in danger and I am already cutting my life short with my food choices...so maybe people do get a little disturbed when they see an obese person making themselves sicker and fatter.

Yes, people who are obese need support and education...but you know what else they need? Fewer calories and more exercise.

There are mental reasons why people gain weight...yes...But there is only one physical reason (for the vast majority) and that is too many calories in and not enough calories out. PERIOD.

I hope I didn't sound too harsh but I want to be CLEAR. I don't want my words to be used to be an excuse for anyone to stay obese.
 
April 26, 2006, 5:33 pm CDT

being morbidly obese

i quiet realize that there are those of us who are more predispose to being larger,  god knows I have had to watch what i eat,  the issue i have is like HOW do you let yourself get to be 700 pounds?

I can see being like anywhere from 20 to one hundered pounds overweight and it being due to genetics or health reasons but at like 700 there HAS to be serious reasons like WHY you'd let yourself go like that.

now i havn't seen the show yet but yet i didn't beleive the bit in the promo where she claims that her body blew up after being bitten by a spider. YEAH RIGHT!  that's highly unlikey


 
April 26, 2006, 6:49 pm CDT

04/27 Big Burden

Are there any medical or scientific studies or papers on genetics and obesity?

I have a hard time buying this at all. I think it's a huge cop out. I want it from the horses mouth before I buy that people genetically have fat cells appear on their bodies. That makes zero sense.
 
April 27, 2006, 1:43 am CDT

Obesity

If it is, according to some people, a genetic thing then why is it that in Europe people aren't as large as the Americans. Only in the last few years people in Europe are becoming larger than ever, but rarely you see someone as large as I see them often in the States. I do think it is more a problem in lifestyle.  

I think the main reason of becoming obese is eating unhealthy fast food and no excersise. People don't take time anymore to eat  and prepare meals together. My American neighbours for instance never cooked a proper meal (fresh vegetables, homegrilled chicken, fruits; sometimes they didn't even know how to prepare them or what they looked like raw), never ate together( wow you REALLY always have breakfast and dinner together at the table??) and drove their children to the tenniscourt ( 10 minute walk tops) and back home (after a stop at Wendy's for dinner).  In supermarkets you have to search for the vegetables and fruitsection (way back in the store, in Europe the first thing you see when you enter the store) and you don't buy normal sized packages but kingsize(and believe me you finish them as fast as normal size).  

Unfortunately the Europeans more and more get into the "American" habits too and are becoming larger and larger.   

I'm not saying that in Europe everything is better but in this case you can clearly see the differences in lifestyle.  

 
April 27, 2006, 4:29 am CDT

04/27 Big Burden

It's amazing to me that the show hasn't even aired yet, but this board has already erupted into a witch hunt of the morbidly obese.  I'm so glad that those of you out there who have a pathological need to feel superior to someone can get this out of your systems.  Cheer up, folks:  At least there's still someone you can still openly hate. 

  

If this were a show about an anorexic woman on the brink of death, few if any of you would be saying that it is her own fault, or why can't she just think clearly about her situation and her health. 

  

I just hope that those of you who are on a mission to air their superiority to this woman and those in a similarly unhappy predicament will consider one point:  You have to eat.  You have to nourish your body.  It's impossible to go "cold turkey" on food except through a fasting diet, and those have been widely discredited.  Yes, gastric bypass surgery is on option, but it is a radical choice.  And unfortunately, without the behavioral commitment, even the benefits of gastric bypass surgery can be undone. 

  

Every person alive has made unwise choices.  Every person alive has done things contrary to common sense, good health, self-preservation.  This woman, whatever her story, has suffered for her choices.  She also seems to have blurred the line and inflicted those choices on her loved ones.  So please get over your self-righteous need to be superior to her and consider her as an individual who needs help in undoing the choices she has made.  Personally, I believe extreme obesity is a form of self-mutiliation, a desire to annihilate the self and anesthetize feelings with food.  I also believe this dynamic is very complex and can only be reversed with much commitment and care.  It's possible, but it's extremely difficult. 

  

And those of you who are fortunate enough not to have this problem should show some understanding and compassion, rather than using this message board as a place to air your hatred. 

 
April 27, 2006, 4:50 am CDT

My Opinion

Quote From: rtrouble

If a person is 200-300 lbs. to begin with, it don't take long to become 400-600 lbs. since they are already hereditarily obese. Fat don't appear from nowhere, it appears from all the fattening food we stuff our faces with everyday!! And their metabolism don't allow it to be burned (plus they have a hard time moving effectively to begin with), so they become morbidly obese from the combination. 

I personally am 5'3" and weigh 130 lbs. I am considered overweight according to the "health experts". When I weighed 120-125 lbs. everyone thought I looked anorexic!! The epidemic we have going on is fat vs. thin and it should be healthy vs. unhealthy. Being over 300 lbs. is just totally astonishing to me. As people get older, they gain so many lbs. per year, it's a proven fact. These morbidly obese people just do it faster and need some hypno-therapy to refocus their thoughts so they can lead good, healthy lives instead of lay in a bed and become like beached whales. Occasionally I do see people who weigh over 300 lbs. out and about and I at least give them some credit for getting up and out of bed everyday. Their problem is that they binge eat and are addicted to food. I hope Dr. Phil can help more people who are suffering from this disorder. 

I understand what both of you are saying. You don't just gain 300lbs over night. It happens from being inactive. In 2000 I found out I was pregnant and quite my job because the environment was not healthy for me to be in during my prenancy. I ended up staying home and I am still a stay at home mom. Since then I have gained at least 100lbs since then, most was with my pregancy and I have not been able to loose it. I am a very active person I think. I just have a very crappy metablosim. I have thought about the gastric by pass surgery, but to me that is like cheating on a test it is taking the easy way if I can't loose it now whose to say after the surgery I won't gain it all back and then have had to go through this procedure for nothing. For me if I were to try to go to a gym I would be afraid of all the THIN people laughing at me while I was trying to work out. Being made fun of for trying to loose weight is not a motivativor.
 
April 27, 2006, 5:50 am CDT

Obesity and Genetics

Quote From: purplepain

Are there any medical or scientific studies or papers on genetics and obesity?

I have a hard time buying this at all. I think it's a huge cop out. I want it from the horses mouth before I buy that people genetically have fat cells appear on their bodies. That makes zero sense.
Obesity and Genetics Posted: Jan. 1, 2005

Obesity is characterized by an excessively high amount of body fat or adipose tissue. This condition is common, but the condition varies from individual to individual.

At one end of the spectrum, a healthy weight can be attained by cutting down on certain foods, taking smaller portions, and embarking on a regimen of regular exercise. For individuals in this population, a moderate change in diet and exercise are the proper interventions because they work.

At the other end of the spectrum, there is another population of overweight people who do not respond as well to these interventions. Everyone knows someone who tries diligently to lose weight but who experiences limited success or loses weight only to gain it back over time. In fact, more than 80% of those who lose weight will gradually regain it unless a weight maintenance program is implemented over the long-term.   

What is different about these people compared to those who either stay thin or lose weight readily and keep it off with relatively minor lifestyle changes? One difference may be genetic risk factors that affect energy metabolism and result in an inborn susceptibility to gain weight.

Genetics as a risk factor for obesity
Although rare obesity syndromes caused by mutations in single genes have been described, by far the greatest proportion of obesity in humans is not due to mutations in single genes.

Genetic predisposition may not be health destiny, but studies indicate that inherited genetic variation is an important risk factor for obesity. Evidence from twin, adoption and family studies strongly suggests that biological relatives exhibit similarities in maintenance of body weight. Genetic factors also are beginning to be implicated in the degree of effectiveness of diet and physical activity interventions for weight reduction.

These genetic risk factors tend to be familial, but are not inherited in a simple manner; they may reflect many genetic variations, and each variation may contribute a small amount of risk and may interact with environmental elements to produce the clinical condition of obesity.

You can’t change your genes, but you can change your behavior
Does this mean that those with a susceptible genotype are destined to a life of futile efforts to achieve a healthy weight? This need not be the case. We can’t change our genes, but we can change our behavior.

Small victories in weight loss — often as little as 10% of total body mass — can result in positive effects on health and well-being, even if an ideal weight remains elusive. Also, the positive effects of regular physical activity include lower blood pressure and increased cardiorespiratory fitness even in people who are significantly overweight.

In the longer term, understanding the genetic variations that influence energy metabolism may help us to understand the underlying biological factors that affect weight gain and energy expenditure. Also, to recognize that obesity may be due to a metabolic condition rather than a flaw in character is important both for the people who are affected and for society as a whole.

The public health messages to prevent overweight emphasize a nutritious diet and daily physical activity. Many who follow this advice from the outset are able to maintain a healthy weight, even with a genetic susceptibility to gain weight.

However, these lifestyle interventions have a range of effectiveness, especially if obesity is already present. For people who are already overweight, the public health interventions aimed at the general population are not a complete solution. Insights from genetics and molecular biology in controlling appetite and activity may provide more effective therapies for treatment.

Source: Center for Disease Control and Prevention   



Causes of Morbid Obesity The reasons for obesity are multiple and complex. Despite conventional wisdom, it is not simply a result of overeating. Research has shown that in many cases a significant, underlying cause of morbid obesity is genetic. Studies have demonstrated that once the problem is established, efforts such as dieting and exercise programs have a limited ability to provide effective long-term relief.

Science continues to search for answers. But until the disease is better understood, the control of excess weight is something patients must work at for their entire lives. That is why it is very important to understand that all current medical interventions, including weight loss surgery, should not be considered medical cures. Rather they are attempts to reduce the effects of excessive weight and alleviate the serious physical, emotional and social consequences of the disease.   

   

Contributing Factors 
The underlying causes of severe obesity are not known. There are many factors that contribute to the development of obesity including genetic, hereditary, environmental, metabolic and eating disorders. There are also certain medical conditions that may result in obesity like intake of steroids and hypothyroidism.   


  

Genetic Factors 
Numerous scientific studies have established that your genes play an important role in your tendency to gain excess weight.   

  • The body weight of adopted children shows no correlation with the body weight of their adoptive parents, who feed them and teach them how to eat. Their weight does have an 80 percent correlation with their genetic parents, whom they have never met.
  • Identical twins, with the same genes, show a much higher similarity of body weights than do fraternal twins, who have different genes.
  • Certain groups of people, such as the Pima Indian tribe in Arizona, have a very high incidence of severe obesity. They also have significantly higher rates of diabetes and heart disease than other ethnic groups.

   

We probably have a number of genes directly related to weight. Just as some genes determine eye color or height, others affect our appetite, our ability to feel full or satisfied, our metabolism, our fat-storing ability, and even our natural activity levels.
  

 
April 27, 2006, 5:58 am CDT

04/27 Big Burden

Quote From: purplepain

Are there any medical or scientific studies or papers on genetics and obesity?

I have a hard time buying this at all. I think it's a huge cop out. I want it from the horses mouth before I buy that people genetically have fat cells appear on their bodies. That makes zero sense.
Try http://www.cdc.gov/genomics/info/perspectives/obesity.htm   This is the site for the CDC.
 
April 27, 2006, 6:31 am CDT

Finally!!!

Quote From: daylily42

It's amazing to me that the show hasn't even aired yet, but this board has already erupted into a witch hunt of the morbidly obese.  I'm so glad that those of you out there who have a pathological need to feel superior to someone can get this out of your systems.  Cheer up, folks:  At least there's still someone you can still openly hate. 

  

If this were a show about an anorexic woman on the brink of death, few if any of you would be saying that it is her own fault, or why can't she just think clearly about her situation and her health. 

  

I just hope that those of you who are on a mission to air their superiority to this woman and those in a similarly unhappy predicament will consider one point:  You have to eat.  You have to nourish your body.  It's impossible to go "cold turkey" on food except through a fasting diet, and those have been widely discredited.  Yes, gastric bypass surgery is on option, but it is a radical choice.  And unfortunately, without the behavioral commitment, even the benefits of gastric bypass surgery can be undone. 

  

Every person alive has made unwise choices.  Every person alive has done things contrary to common sense, good health, self-preservation.  This woman, whatever her story, has suffered for her choices.  She also seems to have blurred the line and inflicted those choices on her loved ones.  So please get over your self-righteous need to be superior to her and consider her as an individual who needs help in undoing the choices she has made.  Personally, I believe extreme obesity is a form of self-mutiliation, a desire to annihilate the self and anesthetize feelings with food.  I also believe this dynamic is very complex and can only be reversed with much commitment and care.  It's possible, but it's extremely difficult. 

  

And those of you who are fortunate enough not to have this problem should show some understanding and compassion, rather than using this message board as a place to air your hatred. 

A voice of reason!  Thank you so much--you took the words right out of my mouth!!!
 
April 27, 2006, 7:06 am CDT

ALL BEAUTIFUL GUESTS

You know, I found all 5 of the guests to be BEAUTIFUL people. They are intelligent, kind, caring and now with Dr. Phil's help, they will get healthy.  

  

Thank you, Dr. Phil, for entering their lives; they have so much more to offer the world.  

  

And an added note, the 14-yr-old teen is gorgeous! That smile and those tears tell me that she's going to be a heart-stopper for the boys once she's fit and out there in the world!!!  

  

Watch out, everyone, there are 5 beautiful people who are going to change their lives around and take society by storm!!! God bless you all. I KNOW you can do it!!! 

 
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