In his new book, "Diet, Drugs, and Dopamine," former FDA Commissioner David A. Kessler explores the alarming rise of obesity in America. He argues that many processed foods are engineered to be addictive, making it hard for people to resist them. Kessler believes these "ultraformulated" foods contribute to a disturbing trend: 41.9% of U.S. adults struggle with obesity, and projections suggest this could rise to nearly 50% by 2030.
Kessler discusses the significant health risks tied to obesity, including Type 2 diabetes, heart disease, and certain cancers. Toxic fat around organs has been linked to these conditions, raising alarm about the public’s health. He also touches on the popularity of GLP-1 drugs like Wegovy and Zepbound, which help people lose weight but can come with side effects and unproven long-term safety.
Having faced his own food addiction since childhood, Kessler emphasizes that understanding addiction is key to tackling obesity. He points out that our brains are wired to respond powerfully to the ultraformulated foods that dominate our diets, complicating the traditional advice to "eat less and move more."
A recent survey from the CDC found that nearly 73% of adults in the U.S. are overweight or obese. This statistic reflects the growing concern about how our environment, including the food industry and social cues, affects our eating habits. Social media trends, such as the body positivity movement, have highlighted the stigma around weight but may inadvertently overshadow the health implications of obesity.
Kessler believes in a comprehensive approach to weight management. This includes not only medication but also behavioral therapy, nutrition, and physical activity. He argues for a shift in the conversation around obesity, viewing it not as a personal failure, but as a complex condition that requires ongoing care.
The key, he suggests, might lie in creating a supportive environment that minimizes exposure to unhealthy food options. His insights highlight the pressing need for a collective re-evaluation of how society sees and addresses obesity.
For a deeper dive into Kessler’s thoughts and recommendations, you can explore his book here.