The problem with this kind of article is that there's an element of truth. It makes it sound potentially true. But I assure you, there are millions of fat people out here who know and follow all this and yet they are still #300 and creeping up.

Because the whole truth is that the biochemistries of the drive to eat and metabolic regulation are far, far more powerful than these 5 little gimmicks. And in the face of obesity they are just that, gimmicks. The truth in them is so slim, so thin that it's useless to a fat person.

And food addiction? That is such a total crock of sh*t. If my ghrelin is through the roof high and my adiponectin is scraping the bottom (exacerbated by dieting no doubt), then my body is sending out powerful signals to eat. There's no psycho-babel addiction there. It's just my body trying to function the best it can.

We fat people are faced off against evolution's determination to make sure that our body eats. Organisms that do not eat, do not survive. So we have powerful, redundant drives to make sure that we eat. We have multiple pathways where that regulation can go awry. But don't tell me to spend 3 days in the dessert and not think about water...or a day without thinking about eating. It's not biologically possible. If our body believes we desperately need water or food it will drive us towards those needs.

If you can let go of these myths then maybe you can become a voice for real truth. Yes, sleep is important. Yes exercise and weight lifting can help stabilize weight...sometimes. Yes, healthy foods are good for our bodies regardless of size. Yes, acknowledging the toll that fat bias can take on your mental health is worth recognizing and caring for.

But no, none of these things will make a 300 lb person lose 100lbs. For that we need the newly evolving science of human metabolism and weight homeostasis. When MD's push the old myths it's hurtful to those of us who must live with the biochemical truth. And remember that there is a huge variety of biochemical truths out here. Your biochemical soup is not the same as mine. And we can now measure that. You can order tests for your patients. What's their ghrelin? Leptin? Adiponectin? Neuropeptide-Y. We are still learning what to do with the results. But I suspect that if you measured yours and mine they would be quite different.

If you can really accept that, then you can start focusing your work on things that might actually lead us towards better care of those who struggle to carry around extra fat.