Jun 29, 2026 · 46 min · 15 segments
Dr. Inyang Takon welcomes **Dr. Evan Nadler**, an internationally recognised paediatric surgeon and childhood obesity specialist, for an honest conversation that challenges many of the assumptions…
Evan NadlerGuest
Inyang TakonHost
I'm just sitting and thinking of children coming to our clinics where everyone has been kind of hung up on the lifestyle modifications.

So when the families come, you know, the lifestyle, that's the message that keeps getting drummed into.

the mother saying, no, there's nothing we're doing that's different, but there's still lots of weight gain and all

So the data and people, all of my cutting edge, let's say, we'll use that because it's a nice euphemistic word for my out of the box thinking, but all of it is based in science.

And if you look at the data from the most intensive lifestyle programs that we have in the US, they're called intensive IHBLTs, intensive healthy behavior and lifestyle treatment programs.

And they're supported by the Center for Disease Control in the United States and also by the American Academy of Pediatrics in the United States.

So that's an hour a week, every other week, learning about diet and exercise and participating in diet and exercise programs.

And at the end of all that, the patients get on average five to 7% total body weight loss.

So if you do the math, For a 300-pound or 150-kilo patient, 15 kilos, half of that is 7.5 kilos.

is going to enroll in that kind of program? Who's going to put in that kind of effort? For that little benefit, and yet it is actually still on the CDC website and the AAP websites as the primary recommendation for children with obesity.

And for children, obviously, it's different, right? Not only is it the child an hour every other week, but it's the parent taking them to the visit.

I'm just sitting and thinking of children coming to our clinics where everyone has been kind of hung up on the lifestyle modifications.

So when the families come, you know, the lifestyle, that's the message that keeps getting drummed into.

the mother saying, no, there's nothing we're doing that's different, but there's still lots of weight gain and all

So the data and people, all of my cutting edge, let's say, we'll use that because it's a nice euphemistic word for my out of the box thinking, but all of it is based in science.

And if you look at the data from the most intensive lifestyle programs that we have in the US, they're called intensive IHBLTs, intensive healthy behavior and lifestyle treatment programs.

And they're supported by the Center for Disease Control in the United States and also by the American Academy of Pediatrics in the United States.

So that's an hour a week, every other week, learning about diet and exercise and participating in diet and exercise programs.

And at the end of all that, the patients get on average five to 7% total body weight loss.

So if you do the math, For a 300-pound or 150-kilo patient, 15 kilos, half of that is 7.5 kilos.

is going to enroll in that kind of program? Who's going to put in that kind of effort? For that little benefit, and yet it is actually still on the CDC website and the AAP websites as the primary recommendation for children with obesity.

And for children, obviously, it's different, right? Not only is it the child an hour every other week, but it's the parent taking them to the visit.
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