Managing morbid obesity isn’t like dusting crops, boy.

One wrong calculation and you can fly right into a galactic #butthurt storm, as Doc Vader seems destined to do here. But until we accept that severe obesity has multiple etiologies, INCLUDING choices such as diet and exercise, we’ll be frozen in politically correct carbonite forever.

Food deserts and economic realities make healthy eating and exercise a massive challenge for many of our patients. Endocrine disorders and genetics can and do contribute. Bariatric surgery may be the only option for some. And a history of emotional or physical trauma can set the stage for severe adult obesity. But none of these preclude the need for real talk with our patients and ourselves, and real talk doesn’t have to mean “fat shaming.”

Share this video so we can have a discussion, and leave your take in the comments below! Me? I’m hitting those Galactic CheetosĀ®!