The Treatment Plan with David Usher, M.D.

Exercise, Calories, Satiety, and Rethinking Obesity


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Jack and Dave break down some of the most misunderstood areas of weight loss: the real role of exercise, why “calories in, calories out” oversimplifies the problem, and how satiety, especially from protein, drives sustainable results.


(00:00) Intro

Setting up today’s topics: exercise, calories, satiety, and fiber.


(01:15) Exercise and Weight Loss

Why exercise is essential for health but overrated as a weight loss tool.


(06:40) Fitness Industry vs. Medicine

How obesity was framed as a wellness problem until recently recognized as a disease.


(15:56) Processed Foods and Corn Syrup

The 1970s food environment shift that fueled the obesity epidemic.


(21:14) You Can’t Out-Exercise Carbs

Insulin resistance and why average people can’t burn off a bad diet.


(26:01) Calories In/Calories Out Debate

True but incomplete — why low-fat dieting and calorie math fail most patients.


(29:58) Protein vs. Fiber for Satiety

Protein as the real driver of fullness, and why “just eat salads” doesn’t work.


(36:39) Sugar, Cravings, and Hormones

How sugar hijacks the brain, why fat + carbs together are dangerous, and the role of ghrelin in hunger.


Episode #06.

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The Treatment Plan with David Usher, M.D.By ReforMedia