NewsMakers
Obesity treatment is complex, requires compassion not judgment, says expert
According to the World Health Organization, obesity has nearly tripled worldwide since 1975 and, in its most recent figures available, more than 1.9 billion adults, 18 years and older, were overweight in 2016. Of these, over 650 million had obesity.

The standard weight loss advice — “Eat less and move more” — is not aging well, and patients with overweight or obesity issues should seek a physician who understands their complex condition and who is aware of available emerging treatment options, says an expert from a top American hospital, Cleveland Clinic.
According to the World Health Organization, obesity has nearly tripled worldwide since 1975 and, in its most recent figures available, more than 1.9 billion adults, 18 years and older, were overweight in 2016. Of these, over 650 million had obesity.
However, W. Scott Butsch, MD MSc FTOS, Director of Obesity Medicine in the Bariatric and Metabolic Institute at Cleveland Clinic, says the good news is that researchers and doctors are continuing to learn more about the disease of obesity, and new pharmacological and endoscopic treatment options are emerging. “We now know many genetic, biological, developmental, behavioral and environmental factors contribute to weight gain and the development of obesity,” he says.
He points out, however, that there is still a widespread belief that obesity is a lifestyle choice — that people develop obesity because they choose to eat too much or exercise too little. As a result, people with obesity are stigmatized and stereotyped in many aspects of their lives — sometimes even at the place they visit to seek help.
Weight bias in healthcare
“Studies find that weight bias is common in healthcare,” Dr Butsch says. While medical professionals strive to provide the best possible care for their patients, studies have shown that some of them also carry negative attitudes toward patients who have obesity, or feel out of their element when it comes to treating it.”
Those attitudes affect patient care, Dr. Butsch says. “As a physician, telling someone to eat less and move more is like telling someone who has depression just to cheer up,” he says. “Doctors wouldn’t dream of saying this to someone with depression, but many have little reservations when making recommendations for weight loss. For whatever reason, some doctors continue to do this when they discuss obesity.”
Medical professionals as a whole need to be better educated about the biology of obesity, he asserts, as well as the factors that play into it and their own biases — which they may or may not realize they have. The results of a recent study he published showed that among U.S. medical school deans, only 10% reported that their medical students were ‘very prepared’ to manage patients with obesity. He adds that in more than one-quarter of the medical schools, non-judgmental communication and use of respectful language with patients who have obesity was covered to a very little extent or not at all.
Having obesity heightens a person’s risk of developing diabetes, heart disease, hypertension and cancer, so a discussion on weight is an appropriate and important topic for doctors to have with their patients. However, he says, patients with obesity have likely already had many negative, biased encounters with providers, and they deserve the conversation to be thorough and compassionate.
Understanding causes of obesity
Dr Butsch says it is also important for patients themselves to understand the complex nature of obesity. “There is a very tightly controlled physiologic system that regulates body weight, aiming to keep it at a certain set point, and this can hinder weight loss. Therefore, when someone is unable to lose weight, it is not their fault necessarily and they shouldn’t berate themselves, just as the medical establishment shouldn’t blame them.”
He adds that because people do not understand the complex processes involved, they often think there are only two pathways to addressing obesity – exercising and dieting on the one hand, and surgery on the other.
“However, there are many types of obesity, and therefore many types of treatment, and no single treatment will work for everybody,” he says. “Understanding where patient is in their weight loss journey and to what extent their excess weight is not only affecting their health risk, but also their quality of life, can determine what treatment pathway we might choose.”
Dr Butsch stresses the importance of a thorough review of each individual patient’s case. “When a patient comes to see us with a problem with their weight, we want to take a weight history. So, often, what’s not done in the medical establishment is making the effort to understand the chronology of an individual’s weight. Identifying contributing factors to weight gain may not only lead us to more targeted and appropriate treatment options, but may help comfort patients who commonly blame themselves for their excess weight.”
Finding the right pathway
Addressing obesity is an ongoing process, and if one approach is not working after several months, the doctor and patient should consider changing course and trying a different therapy. Working with a physician who has a greater understanding and expertise in obesity is key to this process, says Dr. Butsch.
“If you feel that you’re being judged by your doctor, then you have the opportunity to seek another physician who is more knowledgeable in the field of obesity, and will provide more appropriate, non-judgmental care,” he says.
NewsMakers
A Woman leader’s journey to health, empowerment
As a woman who believes in the power of preventive care, Rebecca Bustamante shares her story of health challenges and triumphs—all fueled by her trust in Fullerton’s executive health screening facility.

Rebecca Bustamante, CEO of Asia CEO Events, has always been a force to be reckoned with among key industries and businesses in the Philippines. As an inspirational keynote speaker and organizer of the largest business forums and summits in the country, she has paved the way for empowering professionals to take charge of their careers and create their path to success.
She is, indeed, one of the best examples of what it truly means to be an empowered woman—one who helps others achieve success while fueling and creating change. But beyond her professional triumphs, Bustamante knows that true empowerment starts with taking charge of one’s health, and for her, partnering with Fullerton Health has been a crucial part of that journey.
With the intention of taking control of her health, she turned to Fullerton Health, a leading vertically integrated healthcare platform in Asia with a proven track record of providing enterprise healthcare solutions.
As a woman who believes in the power of preventive care, she shares her story of health challenges and triumphs—all fueled by her trust in Fullerton’s executive health screening facility.
A Wake-Up Call to Prioritize Health
Bustamante’s journey to prioritizing wellness began with a moment that changed everything. In 2005, at just 38 years old, she was diagnosed with a brain tumor and only given six months to live. The news was devastating.
“I was paralyzed, I couldn’t function,” she recalls. “It was the biggest turning point of my life.”
Against all odds, Bustamante survived. But the experience left a lasting impact, reshaping her entire perspective on health. She realized that no matter how successful one becomes, it all means nothing if one’s health is compromised.
That wake-up call made her more intentional about wellness, sparking a lifelong commitment to proactive healthcare and preventive measures. Since then, taking care of her health has been at the forefront of her priorities. She knew that while she had achieved great success, maintaining her well-being was just as important as building her career.
Discovering Fullerton Health
In her search for a healthcare provider that aligned with her commitment to long-term wellness, she was introduced to Fullerton Health by her colleague and friend, Carmie De Leon, who happens to be Radlink Philippines’ Country General Manager and EHS Lead. Fullerton’s executive health screening offered a seamless, thorough, and personalized approach—something Bustamante knew was essential in maintaining her well-being.
“Upon learning about it, my husband and I were excited to experience Fullerton Health because we wanted to see if we were really looking after ourselves properly,” Bustamante explains.
She added that her first executive check-up exceeded all expectations.
“It’s truly a five-star experience,” Rebecca shares. “We didn’t have to wait for the whole day just to get our results because Fullerton Health is efficient and personalized. In just three hours, we completed a full-body assessment. It felt like a business-class health experience.”
Taking Charge of Her Health with Fullerton
Through Fullerton’s comprehensive executive check-up, Bustamante, along with her husband, gained valuable insights into her health—all consolidated into one detailed report and thoroughly explained by Fullerton Health’s doctors. These results served as a guide for her wellness journey, helping her make necessary lifestyle adjustments.
“Fullerton doesn’t just give you test results—they guide you on what to improve and maintain,” Bustamante says. “It’s not just about diagnosing problems but about taking control of your health before issues arise.”
She also emphasized the convenience and efficiency of Fullerton’s services, which allowed her to focus on making meaningful lifestyle changes while balancing the demands of being a CEO and a mother. She shared how her experience with Fullerton Health made her realize the importance of treasuring time with family.
“If you love your family, you owe it to them to stay healthy. You don’t want to be a burden. Instead, you want to be present for your children and grandchildren,” she emphasizes.
When asked what advice she would give to others looking to take charge of their health, she states: “Don’t wait for a wake-up call. Your health is your greatest investment.
Fullerton Health has given me clarity, confidence, and control over my well-being—and that’s priceless.”
A Commitment to a Healthier Future
Through Fullerton Health, Bustamante proves that true success begins with taking care of yourself. Her story is a testament to how prioritizing health can lead to a fuller, more empowered life.
More than just an executive check-up, her experience with Fullerton Health reinforced her belief that preventive care is the best care. Now, she eagerly anticipates her annual check-ups, seeing them not as a task, but as an essential step in her journey to a healthier, more empowered life.
NewsMakers
High dietary fish intake may slow disability progression in MS
The anti-inflammatory and neuroprotective properties of the nutrients found in fish may be key, underscoring the potential importance of diet in managing MS.

A high dietary intake of lean and oily fish may slow the progression of disability in people with multiple sclerosis (MS), suggests a comparative population based study, published online in the Journal of Neurology Neurosurgery & Psychiatry.
The anti-inflammatory and neuroprotective properties of the nutrients found in fish may be key, say the researchers, who add that their findings underscore the potential importance of diet in managing the disease.
Emerging evidence indicates that diet may have a role in the development of inflammatory diseases, including MS, explain the researchers.
While previously published research has linked fish consumption with lower levels of disability among those with MS, few studies have looked at whether it might slow or lessen the progression of disability, they point out.
To explore this further, they drew on 2719 newly diagnosed participants (average age 38) in The Epidemiologic Investigation of Multiple Sclerosis (EIMS) study, a Swedish nationwide population based case-control study, all of whom were recruited between April 2005 and June 2015.
On entry to EIMS, all participants provided information on environmental exposures and lifestyle habits, including their consumption of lean and oily fish, which was categorised as: never or seldom; 1 to 3 times a month; and weekly, and scored from 2 to 6, depending on whether they ate lean or oily fish, or both.
Their disease progression, measured using the Expanded Disability Status Scale (EDSS), was tracked for up to 15 years through the Swedish MS Registry.
Confirmed disability worsening was defined as an increase in the EDSS score of at least 1 point from baseline, sustained between two further check-ups, at least 6 months apart.
The highest fish consumption at diagnosis was associated with a 44% lower risk of confirmed disability worsening as well as a 45% lower risk of progressing to EDSS 3 and and a 43% lower risk of progressing to EDSS 4 compared with those who ate none or very little.
And the more lean and oily fish that was consumed, the lower was the risk of confirmed disability worsening and progression to EDSS 3 and 4, trends analysis indicated.
In 2021, 1719 participants completed an online follow-up questionnaire which assessed changes in fish intake over time. Some 412 (24%) had altered their fish consumption: 288 had increased it; 124 had decreased it.
Those who increased their score from 2–3 to a score of 5–6 within 5 years after diagnosis (133) had a 20% lower risk of confirmed disability worsening, compared with those who continued to eat little or no fish (400).
Only 16 participants increased their fish consumption from a baseline score of 2 to a score of 5–6, but they had a 59% lower risk of confirmed disability worsening, compared with those who remained at the lowest level of consumption (101).
The findings held true even when the potentially influential factors of physical activity, weight (BMI), smoking, alcohol intake, and sun exposure were accounted for. They also remained similar when further adjustment was made for vitamin D level.
This is an observational study, and as such, no firm conclusions can be drawn about cause and effect. And further research to validate the findings and investigate the underlying biological mechanisms is required, say the researchers.
But they suggest: “While omega-3 fatty acids, predominantly found in oily fish, may contribute to reduced disability progression, the beneficial effects observed from lean fish consumption suggest that other factors may also play a significant role. One such factor is taurine, an amino acid found in significant amounts in fish and seafood.”
They explain: “Taurine is the most abundant free amino acid in the brain and, although there are endogenous mechanisms for its production, an exogenous supply is necessary to meet physiological needs.”
They add: “Taurine has diverse cellular functions, including cytoprotective actions through antioxidative and anti-inflammatory effects, making it a potential therapeutic agent for neurological disorders.”
And they conclude: “The results underscore the potential role of diet, particularly fish consumption, as a modifiable factor that could complement existing therapeutic strategies for MS.”
NewsMakers
Myth busted: Healthy habits take longer than 21 days to set in
Planning and intending to complete a new behaviour can also help solidify a new habit, so make sure you continue to make time to include your new healthy habits into your everyday activities. This could be as easy as laying out your gym clothes the night before a morning walk or having a healthy lunch ready to go in the fridge.

We’re nearly two months into 2025, but if you’re struggling to hold onto your New Year’s resolution, stay strong, as University of South Australia research shows that forming a healthy habit can take longer than you expect.
In the first systematic review of its kind, UniSA researchers found that new habits can begin forming within about two months (median of 59–66 days) but can take up to 335 days to establish.
It’s an important finding that could inform health interventions to promote healthy behaviours and prevent chronic disease.
In Australia, chronic disease contributes to a large portion of the disease burden. Many conditions, including type 2 diabetes, heart disease, lung diseases and stroke, can be prevented by changing unhealthy habits or lifestyle factors.
University of South Australia researcher, Dr Ben Singh, says that contrary to popular belief, healthy habits take far longer than three weeks to lock down.
“Adopting healthy habits is essential for long-term well-being but forming these habits – and breaking unhealthy ones – can be challenging,” Dr Singh says.
“At the beginning of the year, many of us are setting goals and making plans for the months ahead –things like being more active, cutting back on sugar, or making healthier food choices – but while common wisdom suggests that it takes just 21 days to form such habits, these claims are not evidence-based.
“In our research, we’ve found that habit formation starts within around two months, but there is significant variability, with formation times ranging from four days to nearly a year.
“So, it’s important for people who are hoping to make healthier habits not to give up at that mythical three-week mark.”
The study of more than 2600 participants also found that certain factors can influence successful habit formation.
“When trying to establish a new healthy habit, success can be influenced by a range of things including how frequently we undertake the new activity, the timing of the practice, and whether we enjoy it or not,” Dr Singh says.
“If you add a new practice to your morning routine, the data shows that you’re more likely to achieve it. You’re also more likely to stick to a new habit if you enjoy it.
“Planning and intending to complete a new behaviour can also help solidify a new habit, so make sure you continue to make time to include your new healthy habits into your everyday activities. This could be as easy as laying out your gym clothes the night before a morning walk or having a healthy lunch ready to go in the fridge.
“Tailoring habit-building strategies into our day and making plans on how we can achieve them, will put you in a position for success.”
While more research is needed, researchers say that these findings can guide public health initiatives and personalised programs that support sustained and healthy behaviour change.
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