I work with a lot of doctors. I've met literally hundreds and talked to hundreds more I have yet to meet a SINGLE DOCTOR who would rather prescribe a pill than exercise/diet Not. A. Single. Onepic.twitter.com/WMBwALmuwe
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"Anyone can lose weight" yeh sure anyone CAN but weightloss is hard, keeping it off is harder, you're not helping anyone by talking nonsense about medical care
This is too general a statement. In musculoskeletal field there is now a large evidence base that exercise loading is effective for back pain, knee pain, shoulder etc whereas drugs have very dubious benefit-risk ratio, probably more harmful than beneficial
Yes fair. I was engaging more with the weightloss diabetes side of the original tweet. Perhaps better to say that for many chronic health outcomes the efficacy of drugs is superior to that of lifestyle interventions in real-world settings
Efficacy is only dreadful if it’s weight loss you’re aiming for- loads of benefits independent of weight loss that deliver the outcomes that weight loss ‘promises’ https://www.ncbi.nlm.nih.gov/m/pubmed/22218619/ … #haes
Yes that's also true. I think that tweet was born more out of frustration with the original tweet than facts 
You have to be joking, we have up to 60% remission with diabetes with diet or surgery. The pills do nothing to slow progression. I would have thought every patient should be offered a lifestyle intervention with T2D. Its verging on unethical not to.
If pills are more effective, why would you not prefer to prescribe them?
Usually I'd say it comes down to two things. One, pills come with more side-effects so there's a cost/benefit balance there. Two, people generally don't want to take pills for a variety of reasons, and doctors are not immune from that thinking either
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