Would love for some physicians or other healthcare professionals to weigh in: I am a board-certified health coach and brain health certified with a Master's in Health promotion and decades of experience in the health and wellness field. I have heard doctors say they just don't get enough time with their patients to discuss or help with behavior mod/lifestyle factors, but can't get to the physicians to get recommendations - pls help!!

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I think this is true, but what is it that you need help with? This seems like a huge systemic problem that is definitely worth working on, but it will take a massive overhaul of the whole system

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The most common problem is that people are fat.

likesmart

Here’s a script for Zepbound. You can get it filled by compounding companies, but it’s still going to be expensive. But you won’t eat as much so it’ll even out. NEXT!

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It would be great if it were that easy.

That’s how our health system is set up. Doctors are forced by administrators to plow through as many appointments as possible. Pair that with the ungodly amount of paperwork, administrative tasks, fighting insurance companies, authorizations, etc.

It leaves little time for doctor/patient time. More have been privatized as concierge medicine. Paying an extra monthly fee so that the doctors can spend more time with you because the fee offsets the need for as many patients.

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Why my parents sold their practice and hated working for an institution. Too many admins, not about care, but hitting metrics and not listening to the doctors. Unfortunate path medicine has taken when it’s getting consolidated into major conglomerates with more bloat than care

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As a nurse, psychotherapist and life and wellness coach, I have witnessed first hand this problem. There’s many issues with this however doctors are trained to focus on the science which is probably correct however that means that patients don’t get to hear all the others benefits of coaching and talking therapies.

I don't work in the industry, but I do know my gym partners with health professionals for stuff like this. If I were a patient in need of learning more about a particular health issue—in diet, exercise, etc.—, I'd check out my gym, a YMCA, to see what exactly is available (in terms of working 1-1 with a health professional) and at what cost. Our healthcare system isn't set up to be holistic, so I wouldn't think twice about looking outside of it to improve my life/health

Here’s the reality.

Patients don’t want to change bad enough to change. The number of referrals to folks in health and wellness and even social work that go unused is astounding. That doesn’t even count referrals to specialists and sub-specialists.

People say all doctors just want to do is call their patients fat and push them off. Can definitely be the case but the sheer number of patients that won’t get on the scale for a visit because it makes them “feel bad” is astounding. That’s the baseline. If you won’t even do that, what are we tracking. Can’t manage what we can’t measure.

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